Individual provider Active NPI

Kari Owens, LICSW, PIP

  • Clinical Social Worker
  • Bryant, AL
National Provider Identifier
1487090155
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1295-3928C Issued in AL
Practice address
29810 Al Highway 71
Bryant, AL 35958-5240
Phone
(256) 597-4114
Fax
(256) 597-4115
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3435G AL
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 1295-3928C AL Primary

Addresses

Primary practice location

29810 Al Highway 71
Bryant, AL 35958-5240

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

Other practice location 1

34617 Al Highway 75
Fyffe, AL 35971-3488
Phone (256) 623-5242

Other practice location 2

3840 Gault Ave N
Fort Payne, AL 35967-5211
Phone (256) 844-4975

Other names 1

  • Kari Brown Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3435GALMDMental Health Counselor
1295-3928CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1487090155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29810 AL HIGHWAY 71",
            "city": "BRYANT",
            "state": "AL",
            "postal_code": "359585240",
            "telephone_number": "256-597-4114",
            "fax_number": "256-597-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34617 Al Highway 75",
            "address_purpose": "LOCATION",
            "city": "Fyffe",
            "state": "AL",
            "postal_code": "359713488",
            "country_code": "US",
            "telephone_number": "256-623-5242",
            "fax_number": "256-623-5243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Gault Ave N",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359675211",
            "country_code": "US",
            "telephone_number": "256-844-4975",
            "fax_number": "256-844-4978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KARI",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3435G",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1295-3928C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryant, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.