Organization Active NPI

Fowler Cooper LMFT PA

  • Marriage & Family Therapist
  • Boone, NC
National Provider Identifier
1457444762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
689 Issued in NC
Legal business name
FOWLER COOPER LMFT PA
Practice address
895 State Farm Rd
Ste 210
Boone, NC 28607
Phone
(828) 264-9222
Fax
(828) 264-1725
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Fowler Faine Cooper, LMFT
Title
President
Phone
(828) 264-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 689 NC Primary

Addresses

Primary practice location

895 State Farm Rd
Ste 210
Boone, NC 28607

Mailing address

895 State Farm Rd
Ste 210
Boone, NC 28607
Phone (828) 264-9222

Other identifiers 1

IdentifierTypeStateIssuer
6105038MedicaidNC

National Provider Directory

National Provider Directory

Locations

895 State Farm Rd
Ste 210
Boone, NC 28607
Phone (828) 264-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457444762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "STE 210",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-264-9222",
            "fax_number": "828-264-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "STE 210",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-264-9222",
            "fax_number": "828-264-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER COOPER LMFT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "FOWLER",
        "authorized_official_middle_name": "FAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-264-9222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105038",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.