Active NPI
Robert McGowen Jr., LPC
- Professional Counselor
- Benbrook, TX
National Provider Identifier
1447644307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69308
- Practice address
- 568 Magnolia Pkwy
Benbrook, TX 76126-2454 - Phone
- (817) 757-2740
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69308 | TX | Primary |
Addresses
Primary practice location
568 Magnolia Pkwy
Benbrook, TX 76126-2454
Mailing address
568 Magnolia Pkwy
Benbrook, TX 76126-2454
Phone (817) 757-2740
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343718801 | Medicaid | TX | |
| 863LPS | Other | TX | BCBS |
| 343718802 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69308 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1447644307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 MAGNOLIA PKWY",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761262454",
"telephone_number": "817-757-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 MAGNOLIA PKWY",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761262454",
"telephone_number": "817-757-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWEN",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343718801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "863LPS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343718802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.