Jennifer Bowser

Key facts

NPI

1497875835

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

742 (NH)

Practice address

45 Washington St
Conway, NH 03818-6031

Phone

(603) 447-3770

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2009.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1497875835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038180255",
            "telephone_number": "603-447-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WASHINGTON ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186031",
            "telephone_number": "603-447-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497875835",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Conway, NH · Mental Health Counselor in New Hampshire