Active NPI
Stephanie Laverne McGowan
- Mental Health Counselor
- Flint, MI
National Provider Identifier
1366948937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401008208
- Practice address
- 129 E. Third Street
Flint, MI 48502 - Phone
- (810) 233-4031
- Fax
- (810) 237-4141
- NPI assigned
- Apr 3, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401008208 | MI | Primary |
Addresses
Primary practice location
129 E. Third Street
Flint, MI 48502
Mailing address
129 E 3Rd St
Flint, MI 48502-1728
Phone (810) 233-4031
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 |
|---|---|---|---|
| 6401008208 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1366948937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E 3RD ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485021728",
"telephone_number": "810-233-4031",
"fax_number": "810-237-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E. THIRD STREET",
"city": "FLINT",
"state": "MI",
"postal_code": "48502",
"telephone_number": "810-233-4031",
"fax_number": "810-237-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "STEPHANIE",
"middle_name": "LAVERNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401008208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.