Individual provider Active NPI

Freedom Arlene Bowers

  • Marriage & Family Therapist
  • Macon, GA
National Provider Identifier
1659868602
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001405 Issued in GA
Practice address
179 Pierce Ave
Macon, GA 31204-2821
Phone
(478) 742-1464
Fax
(478) 742-1883
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001405 GA Primary

Addresses

Primary practice location

179 Pierce Ave
Macon, GA 31204-2821

Mailing address

179 Pierce Ave
Macon, GA 31204-2821
Phone (478) 742-1464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT001405GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones for Life, LLC Marriage & Family Therapist CurrentSince Jun 9, 2024 Accepting new patients
MCG Eap Services, Inc. Marriage & Family Therapist PastSince Aug 29, 2019 Accepting new patients

Locations

524 S Houston Lake Rd
Ste B100
Warner Robins, GA 31088
Phone (478) 542-0832

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1659868602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042821",
            "telephone_number": "478-742-1464",
            "fax_number": "478-742-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042821",
            "telephone_number": "478-742-1464",
            "fax_number": "478-742-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "FREEDOM",
        "middle_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.