Norman Bowers, MFT
Individual provider Active NPI Marriage & Family Therapist · Mount Shasta, CA
NPI 1497895437 · NPPES record last updated Mar 13, 2008
Key facts
- NPI
- 1497895437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 22770 (CA)
- Practice address
- 1107 Ream Ave
Mount Shasta, CA 96067-9768 - Phone
- (530) 926-1436
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22770 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 22770 | CA | Yes |
Addresses
Primary practice location
1107 Ream Ave
Mount Shasta, CA 96067-9768
Mailing address
1107 Ream Ave
Mount Shasta, CA 96067-9768
Phone (530) 926-1436
NPI Registry JSON
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1497895437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 REAM AVE",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679768",
"telephone_number": "530-926-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 REAM AVE",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679768",
"telephone_number": "530-926-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "NORMAN",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "22770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Shasta, CA
- Scott L. Bleazard
- Rebecca S Boehme
- Mackenzie Kaytlynn Bolls
- Lorena Borella-Clements
- Jaime Bottoms
- Donna Bringenberg
- Carolyn Briody
- Eriksson Brioso
- Duane Thomas Brooks
- Nicholas Patrick Brown
All providers in Mount Shasta, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.