Active NPI
Mark Bower
- Professional Counselor
- Goodyear, AZ
National Provider Identifier
1447860309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 14535 W Indian School Rd Ste 120
Goodyear, AZ 85395-9282 - Phone
- (623) 414-2566
- NPI assigned
- Aug 5, 2020
- 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 | AZ | Primary |
Addresses
Primary practice location
14535 W Indian School Rd Ste 120
Goodyear, AZ 85395-9282
Mailing address
2525 W Carefree Hwy Ste 102
Phoenix, AZ 85085-9302
Phone (623) 414-2566
Other practice location 1
7121 W Bell Rd Ste 135
Glendale, AZ 85308-8555
Phone (623) 414-2566
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1447860309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W CAREFREE HWY STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850859302",
"telephone_number": "623-414-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 W INDIAN SCHOOL RD STE 120",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853959282",
"telephone_number": "623-414-2566"
}
],
"practiceLocations": [
{
"address_1": "7121 W Bell Rd Ste 135",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853088555",
"country_code": "US",
"telephone_number": "623-414-2566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWER",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.