Individual provider Active NPI

Shawne Helen Jowett, LLPC

  • Professional Counselor
  • Port Huron, MI
National Provider Identifier
1790417061
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451017432 Issued in MI
Practice address
1101 Military St
Port Huron, MI 48060-5418
Phone
(810) 984-5575
Fax
(810) 213-1068
NPI assigned
Jun 27, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 6451017432 MI Primary

Addresses

Primary practice location

1101 Military St
Port Huron, MI 48060-5418

Mailing address

1101 Military St
Port Huron, MI 48060-5418
Phone (810) 984-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20231211000231 MI Practitioner - Mental Health Counselor 5890144349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonial Woods Missionary ChurchGroup PAC ID 7810140043, 6 clinicians

Practice addresses (Care Compare)

1101 Military St
Port Huron, MI 48060-5418
Phone (810) 984-5575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6451017432MIMDProfessional Counselor

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1790417061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605418",
            "telephone_number": "810-984-5575",
            "fax_number": "810-213-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605418",
            "telephone_number": "810-984-5575",
            "fax_number": "810-213-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOWETT",
        "first_name": "SHAWNE",
        "middle_name": "HELEN",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.