NPIMap

Individual provider Active NPI

Tyler Scott Bowen, LPC

  • Professional Counselor
  • Granby, CO
National Provider Identifier
1710279237
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11492 Issued in CO
Practice address
244 E Agate Ave
Granby, CO 80446
Phone
(970) 887-2179
Fax
(970) 887-9311
NPI assigned
May 3, 2011
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11492 CO Primary

Addresses

Primary practice location

244 E Agate Ave
Granby, CO 80446

Mailing address

715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107

Other identifiers 1

IdentifierTypeStateIssuer
39376320MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003752 CO Practitioner - Mental Health Counselor 1153772470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

244 E Agate Ave
Granby, CO 80446-5868
Phone (970) 887-2179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11492COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. Professional CurrentSince Jan 1, 2024 Accepting new patients
Colorado West Regional Mental Health Inc. CurrentSince Jan 1, 2024 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Professional Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-3478

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

715 Horizon Dr
Ste 225
Grand Junction, CO 81506
Phone (970) 683-7107

707 Wapiti Ct
Rifle, CO 81650
Phone (970) 945-8683

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1710279237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E AGATE AVE",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "970-887-2179",
            "fax_number": "970-887-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "11492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39376320",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granby, CO

Sources for this page

Verify at the official NPI Registry.