Lydia Nicole Bowerly, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61012426 Issued in WA

Practice address

7411 W Clearwater Ave Ste B
Kennewick, WA 99336-1683

Phone

(509) 934-4357

NPI assigned

Dec 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1669019899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 W CLEARWATER AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361683",
            "telephone_number": "509-934-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERLY",
        "first_name": "LYDIA",
        "middle_name": "NICOLE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61012426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/clients",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8905 W Gage Blvd Ste 208",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993367191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lyda Jenee Bottineau, RN
• Clarity Botu
• Martin A Boudro, DDS MSD
• Alesha Marie Boulton
• Rona Deseree Bouzarth, CRNA
• Heather Boyle, PA-C
• Jamie Brackenbury, RDH
• Jayme Leigh Brackett, L.M.P.
• Shailyn K Brackett
• Bradley P Brown DDS PS

• Mental Health Counselor in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.