Active NPI
Annette Marie Cowley, LMSW
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1477823490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-31798
- Practice address
- 1273 E 17TH St
Idaho Falls, ID 83404-6126 - Phone
- (208) 523-0787
- Fax
- (208) 523-3175
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-31798 | ID | Primary |
Addresses
Primary practice location
1273 E 17TH St
Idaho Falls, ID 83404-6126
Mailing address
1273 E 17TH St
Idaho Falls, ID 83404-6126
Phone (208) 523-0787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-31798 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Memorial, Inc. | Past | Accepting new patients | |
| Ashton Memorial, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Ashton, ID
- NPI 1497756803
-
- Health Service Clinic/Center
- Ashton, ID
- NPI 1588991566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1477823490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1273 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046126",
"telephone_number": "208-523-0787",
"fax_number": "208-523-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046126",
"telephone_number": "208-523-0787",
"fax_number": "208-523-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWLEY",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-31798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.