Active NPI
Cotey Bowman, LPC INTERN
- Professional Counselor
- Coppell, TX
National Provider Identifier
1568075729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83661
- Practice address
- 8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4784 - Phone
- (469) 607-0076
- NPI assigned
- Aug 27, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83661 | TX | Primary |
Addresses
Primary practice location
8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4784
Mailing address
810 Dover St
Pilot Point, TX 76258-2655
Phone (580) 512-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83661 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1568075729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 DOVER ST",
"city": "PILOT POINT",
"state": "TX",
"postal_code": "762582655",
"telephone_number": "580-512-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8951 CYPRESS WATERS BLVD STE 160",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194784",
"telephone_number": "469-607-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "COTEY",
"credential": "LPC INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-27",
"last_updated": "2020-08-27",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.