Individual provider Active NPI

Cheryl A Bowen, LADC, LCMHC

  • Mental Health Counselor
  • Derby, VT
National Provider Identifier
1851738546
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0057723 Issued in VT
Practice address
3212 US Route 5
Derby, VT 05829-9677
Phone
(802) 723-5888
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000023 VT
Mental Health Counselor 101YM0800X 068.0057723 VT Primary

Addresses

Primary practice location

3212 US Route 5
Derby, VT 05829-9677

Mailing address

PO Box 58
West Charleston, VT 05872-0058
Phone (802) 723-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240219001641 VT Practitioner - Mental Health Counselor 8729422761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Newport, VT 05855
Phone (802) 673-4907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000023VTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nek Counseling and Consultation Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

3212 US Route 5
Derby, VT 05829
Phone (802) 323-4677

33 Oak St
Newport, VT 05855
Phone (802) 473-1213

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1851738546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "WEST CHARLESTON",
            "state": "VT",
            "postal_code": "058720058",
            "telephone_number": "802-723-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 US ROUTE 5",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "058299677",
            "telephone_number": "802-723-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "LADC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000023",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, VT

Sources for this page

Verify at the official NPI Registry.