Mikayla Ray Bowden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11448 Issued in SC

Practice address

502 Cherry Rd Ste 201
Rock Hill, SC 29732-3118

Phone

(843) 501-1099

Fax

(843) 405-2040

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Affinity Health Center

  dba Affinity Health Center- Main

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1396881066
  Medicare reassignment NPD
• Affinity Health Center

  dba Affinity Health Center-Belleview

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1679350391
  NPD
• Charleston Counseling Center PC

  dba Lifestance Health

  • Mental Health Counselor
  • Mount Pleasant, SC
  • NPI 1316375678
  NPD
• Kershaw County Commission on Alcohol and Drug Abuse

  • Addiction Medicine (Family Medicine) Physician
  • Camden, SC
  • NPI 1316889298
  NPD (past)
• Kershaw County Commission on Alcohol and Drug Abuse

  dba ALPHA Behavioral Health Center

  • Community/Behavioral Health Agency
  • Camden, SC
  • NPI 1669424818

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1407587843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PKWY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-909-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CHERRY RD STE 201",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323118",
            "telephone_number": "843-501-1099",
            "fax_number": "843-405-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Lakeshore Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297304205",
            "country_code": "US",
            "telephone_number": "803-909-6363",
            "fax_number": "877-658-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MIKAYLA",
        "middle_name": "RAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11448",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15912823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guerda Bornelus
• Amanda Borth, DPT
• Stephen J Bott, MD
• Martina Timesha Boulware, LPC
• Qierra Bouyi, RBT
• Chandler Blake Bowers
• Donald Wayne Bowers Jr., APRN
• Virginia H Bowman, LBSW, CACII
• Lashanda Lachole Boyce, DOULA
• Iris Boyd, APRN

• Professional Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.