Charlotte Bowie
Individual provider Active NPI Mental Health Counselor · Dekalb, IL
NPI 1356003016 · NPPES record last updated Oct 11, 2021
Key facts
- NPI
- 1356003016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 12 Health Services Dr
Dekalb, IL 60115-9637 - Phone
- (815) 756-4875
- NPI assigned
- Oct 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
12 Health Services Dr
Dekalb, IL 60115-9637
Mailing address
PO Box 1109
Dekalb, IL 60115-7109
Other providers in Dekalb, IL
- Katherine Nicole Blum
- Amy Heather Bochenek
- Michael John Borak
- Matthew Thomas Borris
- Stepheni Bourov
- John Landis Bowman
- Timothy R Boyle
- Nathaniel Branch
- Bruce Brantman
- Jasmeet Kaur Brar
All providers in Dekalb, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.