NPIMap

Individual provider Active NPI

Art Eugene Fowler, MS, LPC, CSAT, CAMT

  • Professional Counselor
  • Dawsonville, GA
National Provider Identifier
1770868192
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006572 Issued in GA
Practice address
54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196
Phone
(706) 216-4735
Fax
(706) 216-7909
NPI assigned
Oct 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 LPC006572 GA Primary

Addresses

Primary practice location

54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196

Mailing address

54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196
Phone (706) 216-4735

Other identifiers 2

IdentifierTypeStateIssuer
003126063AMedicaidGA
003126063BMedicaidGA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC006572GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Etowahcs, LLC Professional Past Accepting new patients
Cornerstone Physical Therapy Past Accepting new patients
Alpha Hope Counseling, Inc Professional Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1770868192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LUMPKIN CAMPGROUND RD S",
            "address_2": "SUITE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346196",
            "telephone_number": "706-216-4735",
            "fax_number": "706-216-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LUMPKIN CAMPGROUND RD S",
            "address_2": "SUITE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346196",
            "telephone_number": "706-216-4735",
            "fax_number": "706-216-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ART",
        "middle_name": "EUGENE",
        "credential": "MS, LPC, CSAT, CAMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126063A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126063B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.