Bowman McCullough, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13208551-6009 Issued in UT

Practice address

822 S 1040 W
Payson, UT 84651-4614

Phone

(503) 412-8049

Fax

(801) 609-2447

NPI assigned

Aug 19, 2024

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

Practice roles

Locations

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.

• Ascent Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Payson, UT
  • NPI 1912636374
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1659103414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 1040 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "503-412-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 1040 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "503-412-8049",
            "fax_number": "801-609-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "BOWMAN",
        "credential": "ACMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13208551-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nictehai Martinez
• Luke Marvin
• Keith S Mattinson, DDS
• Roxanna Maurer, CPM, LDEM
• Chris Brent McClellan, RPH
• Renny Theodore McDaniel, M.D., M.P.H.
• Harold R Measom, PHARM. D.
• Medallion Supported Living-Payson
• Brynn Menchi
• Moncerrat Mendoza

• Mental Health Counselor in Payson, UT
• Providers in Payson, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.