Mary Ashton Fowler, P-LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P-0653 Issued in MS

Practice address

5915 Getwell Rd BLDG B
Southaven, MS 38672-6455

Phone

(662) 349-2979

Fax

(662) 349-2978

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Journey to New Beginnings, PLLCGroup PAC ID 5698820447, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Journey to New Beginnings, PLLC

  • Clinical Social Worker
  • Southaven, MS
  • NPI 1891959318
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1497468847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MARY",
        "middle_name": "ASHTON",
        "credential": "P-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "P-0653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@journeytonewbeginnings.com",
            "affiliation": "N",
            "address_1": "5915 Getwell Rd Bldg B",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386726455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel B Fore, M.D.
• James Everett Fortune, M.D.
• Foundation Internal Medicine, P.C.
• Denise F Fowler, LCSW
• Levi Fowler, DPT
• Mary Fox
• Jennifer B Fredrickson, APN
• Kari Freudenberg
• Robin Frey, R.PH.
• Teresa L Fritts, MD

• Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.