Active NPI
Suzette M Bowen, LPC
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1376989434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3685
- Practice address
- 8235 YMCA Plaza Dr
Suite 200
Baton Rouge, LA 70810-0939 - Phone
- (225) 767-5673
- Fax
- (225) 767-3501
- NPI assigned
- May 16, 2013
- 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 | 3685 | LA | Primary |
Addresses
Primary practice location
8235 YMCA Plaza Dr
Suite 200
Baton Rouge, LA 70810-0939
Mailing address
8235 YMCA Plaza Dr Ste 200
Baton Rouge, LA 70810-0939
Phone (225) 767-5673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27496989 | Other | LA | EIN |
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 |
|---|---|---|---|
| 3685 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1376989434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 YMCA PLAZA DR STE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100939",
"telephone_number": "225-767-5673",
"fax_number": "225-767-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 YMCA PLAZA DR",
"address_2": "SUITE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100939",
"telephone_number": "225-767-5673",
"fax_number": "225-767-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "SUZETTE",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EIN",
"identifier": "27496989",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.