Dana Lynn Bowman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007699 Issued in VA

Practice address

174 Costello Dr
Winchester, VA 22602-4306

Phone

(540) 722-6238

Fax

(540) 662-5536

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 28, 2024 through May 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1659961787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 COSTELLO DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024306",
            "telephone_number": "540-327-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 COSTELLO DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024306",
            "telephone_number": "540-722-6238",
            "fax_number": "540-662-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701007699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Brunot Bouldin, CLC, CD
• Marissa Boutin
• Steven S Bowen
• Timothy Keefe Bowers Jr., MD
• Tina Bowers, PHARM. D
• James E Bowman Jr., LPC
• Leslie Bowman
• Boxwell Pharmacy, LLC
• Corey Lee Boxwell, PHARMD
• Kendra Malynn Boyce

• Professional Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.