Active NPI
Amy Michelle Owens, LMHC
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1508416371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 99095013A
- Practice address
- 400 W 7TH St Ste 105G
Bloomington, IN 47404-3900 - Phone
- (812) 668-0055
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99095013A | IN | Primary |
Addresses
Primary practice location
400 W 7TH St Ste 105G
Bloomington, IN 47404-3900
Mailing address
9431 S Pointe Lasalles Dr
Bloomington, IN 47401-9024
Phone (317) 864-8531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99095013A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1508416371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 S POINTE LASALLES DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474019024",
"telephone_number": "317-864-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST STE 105G",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043900",
"telephone_number": "812-668-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "99095013A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.