Lowell Owen Wavrick, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-24926 Issued in MT

Practice address

4998 Sonoma St
Missoula, MT 59808-8694

Phone

(406) 945-1730

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Healthy Life Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Missoula, MT
  • NPI 1376183525
  NPD Authorized official

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508380569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 SONOMA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088694",
            "telephone_number": "406-945-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 SONOMA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088694",
            "telephone_number": "406-945-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAVRICK",
        "first_name": "LOWELL",
        "middle_name": "OWEN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-24926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watson Children'S Shelter
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• Elise Watts, LCSW
• Waves of Change Counseling Mt
• Crystal Marie Wavrick
• Charles Wayland, LCSW
• Mark Christopher Wayne, LCSW
• We Care Behavioral Health LLC
• We Work Relationships, LLC
• Jaydee Lynn Weatherwax

• Addiction (Substance Use Disorder) Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.