Individual provider Active NPI

Bruce Edward McDowell, MA, LPC, CAC II

  • Mental Health Counselor
  • Commerce City, CO
National Provider Identifier
1659491793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3205 Issued in CO
Practice address
4371 E 72ND Ave
Commerce City, CO 80022-1471
Phone
(303) 853-3570
Fax
(303) 289-6962
NPI assigned
Mar 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3205 CO Primary

Addresses

Primary practice location

4371 E 72ND Ave
Commerce City, CO 80022-1471

Mailing address

4371 E 72ND Ave
Commerce City, CO 80022-1471
Phone (303) 853-3570

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 Arts

State licenses

LicenseStateTypeSpecialty
3205COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659491793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 E 72ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800221471",
            "telephone_number": "303-853-3570",
            "fax_number": "303-289-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E 72ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800221471",
            "telephone_number": "303-853-3570",
            "fax_number": "303-289-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.