Active NPI
Lee Cowan, LMFT
- Mental Health Counselor
- Roseville, CA
National Provider Identifier
1336441104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 85086
- Practice address
- 3300 Douglas Blvd Ste 240
Roseville, CA 95661-4287 - Phone
- (408) 646-9755
- NPI assigned
- Nov 29, 2010
- Last updated
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 85086 | CA | |
| Mental Health Counselor | 101YM0800X | 85086 | CA | Primary |
Addresses
Primary practice location
3300 Douglas Blvd Ste 240
Roseville, CA 95661-4287
Mailing address
3300 Douglas Blvd
Ste 240
Roseville, CA 95661-3844
Phone (408) 646-9755
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | agmlcowan@yahoo.com | Direct |
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 |
|---|---|---|---|
| 85086 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phil Bluemel Family Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Roseville, CA
- NPI 1679966378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1336441104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 DOUGLAS BLVD",
"address_2": "STE 240",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613844",
"telephone_number": "408-646-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DOUGLAS BLVD STE 240",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614287",
"telephone_number": "408-646-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "LEE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-29",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "85086",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "85086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "agmlcowan@yahoo.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "N/A",
"address_1": "3300 Douglas Blvd",
"address_2": "Ste 240",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956613844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.