Kenneth Ray Bowling Jr., IMF

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF 76911 Issued in CA

Practice address

68615 Perez Rd
Cathedral City, CA 92234-7200

Phone

(760) 770-2286

NPI assigned

Feb 14, 2007

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

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1538202023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68615 PEREZ ROAD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347200",
            "telephone_number": "760-770-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68615 PEREZ RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347200",
            "telephone_number": "760-770-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "IMF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 76911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHS Physician Services of California PC
• Birth Your Way Desert Office
• Nicolasa Bonilla
• Medhat Botros
• Nicole Helena Bower, D.P.T., CSCS
• Brief Psychotherapy and Family Counseling, a Professional Corporation
• Deborah Lyn Brooks, LCSW
• George Robert Brown, MD
• Tiffany Thien Trang Nguyen Bui
• Stephen Ray Burchard, CADCA

• Mental Health Counselor in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.