Individual provider Active NPI

Breanna Marie Bowker

  • Mental Health Counselor
  • Whitman, MA
National Provider Identifier
1639633761
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
288 Bedford St
Whitman, MA 02382-1820
Phone
(781) 447-6425
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

288 Bedford St
Whitman, MA 02382-1820

Mailing address

288 Bedford St
Whitman, MA 02382-1820
Phone (781) 447-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001660 MA Practitioner - Mental Health Counselor 3779022728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brockton Area Multi-Services, Inc. 18 clinicians

Practice addresses (Care Compare)

288 Bedford St
Whitman, MA 02382-1820
Phone (781) 447-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Area Multi-Services, Inc. Mental Health CurrentSince Jul 10, 2024 Accepting new patients
Whitman Counseling PastSince Apr 17, 2022 Accepting new patients

Locations

288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1639633761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425",
            "fax_number": "781-447-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BEDFORD ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821820",
            "telephone_number": "781-447-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWKER",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitman, MA

Sources for this page

Verify at the official NPI Registry.