Patrick James Fowler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I.2002181 Issued in OH

Practice address

615 E North Broadway St
Columbus, OH 43214-4133

Phone

(614) 593-2649

NPI assigned

Sep 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pjfinc Counseling LTD

  • Mental Health Counselor
  • Columbus, OH
  • NPI 1871168583
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1700395464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144133",
            "telephone_number": "614-593-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144133",
            "telephone_number": "614-593-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.2002181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Bachman Fowler, MA
• Elizabeth Fowler, RN
• Erin Nicole Fowler, MA, CCC/SLP
• Ethan Gerald Thomas Fowler, APRN-CNP
• Laura Fowler, MSP, CCC-SLP
• Ronald D Fowler, DMD
• Trisha S. Fowler, LMT
• Violeta Gonzalez Fowler, LPCC
• Joshua Thomas Fox-Fuller, PHD
• Allison Anne Fox

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.