Vanessa C Bowen Newton, LMHC 5478

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5478 Issued in MA

Practice address

1485 Dorchester Ave Ste 206
Dorchester, MA 02122-1301

Phone

(617) 265-5064

Fax

(617) 265-5179

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Mattapan Community Health Center, Inc.Group PAC ID 2062423866, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mattapan Community Health Center Inc

  • Clinic/Center
  • Boston, MA
  • NPI 1942869342
  Medicare reassignment Care Compare group NPD
• Mattapan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Mattapan, MA
  • NPI 1639240393
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1790853992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 DORCHESTER AVE STE 206",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221301",
            "telephone_number": "617-265-5064",
            "fax_number": "617-265-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 DORCHESTER AVE STE 206",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221301",
            "telephone_number": "617-265-5064",
            "fax_number": "617-265-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN NEWTON",
        "first_name": "VANESSA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMHC 5478",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467768325",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Bouloute, NP
• Bowdoin St. Health Center
• Bowdoin Street Health Ceneter
• Bowdoin Street Health Center
• Bowdoin Street Health Center
• Myles Bowen, M.A.
• Ivy Lynn Brackup, MD
• Kelley D Bradshaw
• Michelle Marie Brady, R.N
• Edward Branson, NP

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.

Verify at the official NPI Registry.