Active NPI
Celeste Bowman, MS, CAP,
- Mental Health Counselor
- Boynton Beach, FL
National Provider Identifier
1396971420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH20242
- Practice address
- 3490 Quantum Lakes Dr
Boynton Beach, FL 33426-8340 - Phone
- (718) 213-6680
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11515 | NY | |
| Mental Health Counselor | 101YM0800X | IMH20242 | FL | Primary |
Addresses
Primary practice location
3490 Quantum Lakes Dr
Boynton Beach, FL 33426-8340
Mailing address
3490 Quantum Lakes Dr
Boynton Beach, FL 33426-8340
Phone (718) 213-6680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMH20242 | Other | FL | FLORIDA CERTIFICATION BOARD |
| 009621-2015 | Other | FL | FLORIDA CERTIFICATION BOARD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11515 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| IMH20242 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1396971420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 QUANTUM LAKES DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268340",
"telephone_number": "718-213-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 QUANTUM LAKES DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268340",
"telephone_number": "718-213-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CELESTE",
"credential": "MS, CAP,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "11515",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH20242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "IMH20242",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD",
"identifier": "009621-2015",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.