Douglas Andrew Cowan, LCPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC2708 Issued in ME

Practice address

131 Spring St.
Portland, ME 04101

Phone

(207) 650-2632

Fax

(207) 767-0995

NPI assigned

Oct 14, 2009

Last updated

Oct 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1518292200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4693",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04112",
            "telephone_number": "207-650-2632",
            "fax_number": "207-767-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SPRING ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-650-2632",
            "fax_number": "207-767-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "DOUGLAS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LCPC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC3002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2708",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432729499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covenant Care LLC
• Covetrus North America, LLC (Covetrus Maine)
• Wesley Carroll Covey
• Kimberly Jo Coville, LCSW
• Janette Renee Covington, MD
• Ketch Cowan
• Joshua Cowgill, M.D.
• Samantha Larelle Cowling, PA-C
• Trevor Scott Cowling
• Brianne L Cox, CRNA

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.