Individual provider Active NPI

Natalia Owens, MS, LPC

  • Professional Counselor
  • Fort Myers, FL
National Provider Identifier
1689240814
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013263 Issued in VA
Practice address
2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Phone
(239) 963-4367
NPI assigned
May 28, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23152 FL
Professional Counselor 101YP2500X 0701013263 VA Primary

Addresses

Primary practice location

2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369

Mailing address

2734 Oak Ridge CT Ste 404
Fort Myers, FL 33901-9369
Phone (239) 963-4367

Other practice location 1

100 Concourse Blvd Ste 111
Glen Allen, VA 23059-5642
Phone (804) 374-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001890 VA Practitioner - Mental Health Counselor 2466898192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golay Health Ventures LLCGroup PAC ID 1355703257, 10 clinicians

Practice addresses (Care Compare)

100 Concourse Blvd
Suite 111
Glen Allen, VA 23059-5642
Phone (804) 374-9484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH23152FLMDMental Health Counselor
0701013263VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Golay Health Ventures LLC Mental Health CurrentSince Apr 22, 2024 Accepting new patients

Locations

100 Concourse Blvd
Ste 111
Glen Allen, VA 23059
Phone (804) 288-1800

Organizations & group practices 1

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1689240814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT STE 404",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 OAK RIDGE CT STE 404",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019369",
            "telephone_number": "239-963-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Concourse Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230595642",
            "country_code": "US",
            "telephone_number": "804-374-9484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "NATALIA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23152",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.