Active NPI
Susan Bowen, LMHC
- Mental Health Counselor
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 7113
- Practice address
- 525 E 15TH St
Panama City, FL 32405-5412 - Phone
- (850) 522-4480
- Fax
- (850) 914-9281
- NPI assigned
- Feb 14, 2006
- Last updated
- Jul 31, 2013
- Sex
- Female
- 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 | MH 7113 | FL | Primary |
Addresses
Primary practice location
525 E 15TH St
Panama City, FL 32405-5412
Mailing address
525 E 15TH St
Panama City, FL 32405-5412
Phone (850) 522-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO, SC, NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
66 W Flagler St
Suite 900
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7113 | FL | MD | Mental Health Counselor |
| 11535 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304
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": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1780658047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4480",
"fax_number": "850-914-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4480",
"fax_number": "850-914-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "SUSAN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 7113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.