Active NPI
Chester Fred Bowen III, MSCP
- Mental Health Counselor
- Allston, MA
National Provider Identifier
1760732218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 40 N. Beacon St
Allston, MA 02134 - Phone
- (617) 782-8609
- Fax
- (617) 254-2882
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
40 N. Beacon St
Allston, MA 02134
Mailing address
40 N Beacon St
Allston, MA 02134-1926
Phone (617) 782-8609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1760732218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 N BEACON ST",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341926",
"telephone_number": "617-782-8609",
"fax_number": "617-254-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N. BEACON ST",
"city": "ALLSTON",
"state": "MA",
"postal_code": "02134",
"telephone_number": "617-782-8609",
"fax_number": "617-254-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "CHESTER",
"middle_name": "FRED",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.