Organization Active NPI

Jennifer S. Bowles PHD JD LMSW

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
National Provider Identifier
1851951347
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER S. BOWLES PHD JD LMSW
Practice address
2002 Hogback Rd Ste 15
Ann Arbor, MI 48105-9736
Phone
(734) 972-4199
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Jennifer S Bowles, PHD JD LMSW
Title
Therapist
Phone
(734) 972-4199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2002 Hogback Rd Ste 15
Ann Arbor, MI 48105-9736

Mailing address

2002 Hogback Rd Ste 15
Ann Arbor, MI 48105-9736

Other identifiers 1

IdentifierTypeStateIssuer
1447716964OtherWIMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1851951347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD STE 15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-972-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER S. BOWLES PHD JD LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "734-972-4199",
        "authorized_official_credential": "PHD JD LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1447716964",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.