Active NPI
Kathryn Marie Bowden, MA, LPMHCA
- Professional Counselor
- Cary, NC
National Provider Identifier
1477151504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15966
- Practice address
- 1140 Kildaire Farm Rd
Cary, NC 27511-4562 - Phone
- (678) 877-0016
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | A15966 | NC | Primary |
Addresses
Primary practice location
1140 Kildaire Farm Rd
Cary, NC 27511-4562
Mailing address
5904 Dahlberg Dr
Raleigh, NC 27603-7869
Phone (678) 877-0016
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15966 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1477151504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 DAHLBERG DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276037869",
"telephone_number": "678-877-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275114562",
"telephone_number": "678-877-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "MA, LPMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.