Individual provider Active NPI

Brett Bowers, LCMHCS, LCAS

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1871176180
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S6853 Issued in NC
Practice address
2903 Buckingham Rd
Durham, NC 27707-4630
Phone
(919) 801-9010
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21607 NC
Health & Wellness Coach 171400000X NC
Mental Health Counselor 101YM0800X S6853 NC Primary

Addresses

Primary practice location

2903 Buckingham Rd
Durham, NC 27707-4630

Mailing address

2903 Buckingham Rd
Durham, NC 27707-4630
Phone (919) 801-9010

Other identifiers 2

IdentifierTypeStateIssuer
21607OtherNCLICENSED CLINICAL ADDICTIONS SPECIALIST
S6857OtherNCLICENSED CLINICAL MENTAL HEALTH COUNSELOR SUPERVISOR

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
S6853NCMDMental Health Counselor
21607NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1871176180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 BUCKINGHAM RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074630",
            "telephone_number": "919-801-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 BUCKINGHAM RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074630",
            "telephone_number": "919-801-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "BRETT",
        "credential": "LCMHCS, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21607",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S6853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL ADDICTIONS SPECIALIST",
            "identifier": "21607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL MENTAL HEALTH COUNSELOR SUPERVISOR",
            "identifier": "S6857",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.