Individual provider Active NPI

Mark Bower

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1447860309
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Aug 5, 2020

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 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.

Verify at the official NPI Registry.