Individual provider Active NPI

Sarah Rose Fowler, LPC, MS

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1386083806
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11456 Issued in CO
Practice address
44 E Spaulding Ave Ste 1
Pueblo, CO 81007-1668
Phone
(719) 542-0032
Fax
(719) 296-6218
NPI assigned
Jun 18, 2013
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11456 CO Primary

Addresses

Primary practice location

44 E Spaulding Ave Ste 1
Pueblo, CO 81007-1668

Mailing address

44 E Spaulding Ave Ste 1
Pueblo West, CO 81007-1668
Phone (719) 542-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002344 CO Practitioner - Mental Health Counselor 4183156425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Rose Counseling, LLCGroup PAC ID 3274065511, 2 clinicians

Practice addresses (Care Compare)

44 E Spaulding Ave
Suite 2
Pueblo West, CO 81007-1668
Phone (719) 547-0962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11456COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Rose Counseling, LLC CurrentSince Sep 19, 2024 Accepting new patients

Locations

44 E Spaulding Ave
Ste 1
Pueblo West, CO 81007
Phone (719) 250-9569

44 E Spaulding Ave
Ste 2
Pueblo West, CO 81007
Phone (719) 251-8393

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1386083806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE STE 1",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "719-542-0032",
            "fax_number": "719-296-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE STE 1",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "719-542-0032",
            "fax_number": "719-296-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "11456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.