Active NPI
Jason Bowlick
- Case Manager/Care Coordinator
- Dunbar, WV
National Provider Identifier
1831701994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1400 Ohio Ave
Dunbar, WV 25064-2935 - Phone
- (304) 205-7978
- Fax
- (304) 205-7983
- NPI assigned
- Aug 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1400 Ohio Ave
Dunbar, WV 25064-2935
Mailing address
1400 Ohio Ave Ste a
Dunbar, WV 25064-2935
Phone (304) 205-7978
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.bowlick@csiwv.com | Other | CSI Community Services Inc |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Community Services Inc | Current | Accepting new patients | |
| Csi Community Services Inc | Current | Accepting new patients |
Locations
1400 Ohio Ave
#A
Dunbar, WV 25064
Phone (304) 205-7978
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Dunbar, WV
- NPI 1366600439
-
- Personal Care Attendant
- Dunbar, WV
- NPI 1629554555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1831701994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 OHIO AVE STE A",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250642935",
"telephone_number": "304-205-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 OHIO AVE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250642935",
"telephone_number": "304-205-7978",
"fax_number": "304-205-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLICK",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.bowlick@csiwv.com",
"affiliation": "Y",
"endpointDescription": "encrypted email managed by my employer",
"affiliationName": "CSI Community Services Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "encrypted email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "encrypted emails and attachments",
"address_1": "1400 Ohio Ave Ste A",
"city": "Dunbar",
"state": "WV",
"country_code": "US",
"postal_code": "25064",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.