Active NPI
Jonni Rose Lukenbill-Bowles, MS, LPC, NCC, BCC
- Mental Health Counselor
- Washington, IA
National Provider Identifier
1649899618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 420 E Polk St
Washington, IA 52353-1237 - Phone
- (319) 653-2930
- NPI assigned
- Apr 10, 2020
- Last updated
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
420 E Polk St
Washington, IA 52353-1237
Mailing address
445 W 18TH St
Washington, IA 52353-4717
Phone (847) 254-5425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Washington |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1649899618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 W 18TH ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523534717",
"telephone_number": "847-254-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E POLK ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523531237",
"telephone_number": "319-653-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKENBILL-BOWLES",
"first_name": "JONNI",
"middle_name": "ROSE",
"credential": "MS, LPC, NCC, BCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Washington",
"affiliation": "N",
"endpointDescription": "Unclear what this means",
"address_1": "420 E Polk St",
"city": "Washington",
"state": "IA",
"country_code": "US",
"postal_code": "523531237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.