Active NPI
Summer L Bowman
- Professional Counselor
- Holly Ridge, NC
National Provider Identifier
1346695434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12304
- Practice address
- 202 Folkstone Rd
Holly Ridge, NC 28445-7546 - Phone
- (910) 803-1537
- NPI assigned
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12304 | NC | Primary |
Addresses
Primary practice location
202 Folkstone Rd
Holly Ridge, NC 28445-7546
Mailing address
202 Folkstone Rd
Holly Ridge, NC 28445-7546
Phone (910) 803-1537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913001092 | NC | Practitioner - Mental Health Counselor | 8123568326 | Practice locations: Holly Ridge, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Holly Ridge, NC 28445
Phone (910) 803-1573
202 Folkstone Rd
Holly Ridge, NC 28445-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12304 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1346695434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 FOLKSTONE RD",
"city": "HOLLY RIDGE",
"state": "NC",
"postal_code": "284457546",
"telephone_number": "910-803-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 FOLKSTONE RD",
"city": "HOLLY RIDGE",
"state": "NC",
"postal_code": "284457546",
"telephone_number": "910-803-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "SUMMER",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Ridge, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.