Mark Ellen Bowles, MA, LPC
Individual provider Active NPI Counselor · Bastrop, TX
NPI 1497783476 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1497783476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 13539 (TX)
- Practice address
- 502 Hill St
Bastrop, TX 78602-3949 - Phone
- (512) 289-5623
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
502 Hill St
Bastrop, TX 78602-3949
Phone (512) 289-5623
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522000067 | TX | Practitioner - Mental Health Counselor | 0345682407 | Practice locations: Bastrop, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13539 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Alonzo Enis Jr.,Inc. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13539 | TX | Yes |
Addresses
Primary practice location
502 Hill St
Bastrop, TX 78602-3949
Mailing address
201 E State Loop 543
West Point, TX 78963-5267
Phone (512) 289-5623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1219446 05 | Medicaid | TX |
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.