Mary McGowan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003742 Issued in CT

Practice address

49 Belcrest Rd
West Hartford, CT 06107-3305

Phone

(860) 899-4060

NPI assigned

Aug 5, 2019

Reactivated

Oct 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, Professional

  Medicare reassignment NPD
• Enrgm LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1063178200
  NPD Authorized official
• Mary McGowan

  • Professional Counselor
  • West Hartford, CT
  • NPI 1811633043
  NPD Authorized official

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1487209649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BELCREST RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073305",
            "telephone_number": "860-899-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BELCREST RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073305",
            "telephone_number": "860-899-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "deactivation_date": "2022-05-10",
        "reactivation_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "3742",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen McDermott
• Jason McDermott, APRN
• Kena Aiden McDermott, DC
• Kayla McDonald
• Tangel McFadden, LCSW
• Colleen Sharon McGuane, PSY.D.
• MCH/Russell Associates,LLC
• Monica Patricia McHargh-Satchell, AMFT
• Patricia A. McIntosh, LCSW, MPH
• Tricia N McIntosh

• Professional Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.