Individual provider Active NPI

Helen Cowart

  • Counseling Psychologist
  • Santa Rosa, CA
National Provider Identifier
1790523058
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
94027276 Issued in CA
Practice address
320 10TH St Ste 200
Santa Rosa, CA 95401-5291
Phone
(707) 579-0465
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 94027276 CA Primary

Addresses

Primary practice location

320 10TH St Ste 200
Santa Rosa, CA 95401-5291

Mailing address

250 Gold Ridge Rd
Sebastopol, CA 95472-3950
Phone (802) 272-2467

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

State licenses

LicenseStateTypeSpecialty
94027276CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lomi School Foundation CurrentSince Jul 21, 2024 Accepting new patients

Locations

320 10th St
Ste 200
Santa Rosa, CA 95401
Phone (707) 536-7804

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1790523058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GOLD RIDGE RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723950",
            "telephone_number": "802-272-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 10TH ST STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015291",
            "telephone_number": "707-579-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "HELEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "94027276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.