Individual provider Active NPI

Harold Jowers, LISW,LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Medina, OH
National Provider Identifier
1659530566
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
80524 Issued in OH
Practice address
246 Northland Dr
Suite 140
Medina, OH 44256-1533
Phone
(330) 723-9600
Fax
(330) 722-1446
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 80524 OH Primary
Clinical Social Worker 1041C0700X I.0001679 OH

Addresses

Primary practice location

246 Northland Dr
Suite 140
Medina, OH 44256-1533

Mailing address

246 Northland Dr
Suite 140
Medina, OH 44256-1533
Phone (330) 723-9600

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
80524OHMDAddiction (Substance Use Disorder) Counselor
I.0001679OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1659530566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 140",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561533",
            "telephone_number": "330-723-9600",
            "fax_number": "330-722-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 140",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561533",
            "telephone_number": "330-723-9600",
            "fax_number": "330-722-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOWERS",
        "first_name": "HAROLD",
        "name_prefix": "Mr.",
        "credential": "LISW,LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "80524",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0001679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.