Active NPI
Erin Colleen Fowkes, LPC
- Counselor
- Watertown, SD
National Provider Identifier
1306604228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC7016
- Practice address
- 1112 44TH St NW
Watertown, SD 57201-5499 - Phone
- (605) 770-4824
- NPI assigned
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC7016 | SD | Primary |
Addresses
Primary practice location
1112 44TH St NW
Watertown, SD 57201-5499
Mailing address
1112 44TH St NW
Watertown, SD 57201-5499
Phone (605) 770-4824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC7016 | SD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1306604228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 44TH ST NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572015499",
"telephone_number": "605-770-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 44TH ST NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572015499",
"telephone_number": "605-770-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWKES",
"first_name": "ERIN",
"middle_name": "COLLEEN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SD",
"license": "LPC7016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.