Jennie R Bowyer LCSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8897-123 Issued in WI

Practice address

1307 State Road 69
New Glarus, WI 53574-9328

Phone

(608) 921-8493

NPI assigned

Jan 26, 2016

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Counseling Center, LLCGroup PAC ID 3577006758, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@lifesabeachcounselingllc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Counseling Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1215443882
  Medicare reassignment Care Compare group NPD
• Life's a Beach Counseling LLC

  • Mental Health Counselor
  • New Glarus, WI
  • NPI 1760005623
  NPD
• County of Green

  dba Green County Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, WI
  • NPI 1992925085
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1649637380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 STATE ROAD 69",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749328",
            "telephone_number": "608-527-2401",
            "fax_number": "608-527-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 STATE ROAD 69",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749328",
            "telephone_number": "608-921-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWYER LCSW",
        "first_name": "JENNIE R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8897-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8897-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lifesabeachcounselingllc.com",
            "affiliation": "N",
            "address_1": "1307 State Road 69",
            "city": "New Glarus",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535749328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Acorn Dietetics, LLC
• Basra Compassionate Living LLC (Tenth Home)
• Laura J Bradstreet, APNP
• Bridges Consultation and Treatment
• Timothy Lee Buechner
• Sara Burke
• Kathy Chao

• Clinical Social Worker in New Glarus, WI
• Providers in New Glarus, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.