Active NPI
Thomas Barksdale Bowling Jr., M.ED.
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1871656546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11613
- Practice address
- 16019 Via Shavano
San Antonio, TX 78249-2370 - Phone
- (210) 696-9292
- Fax
- (210) 690-8815
- NPI assigned
- Dec 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4169 | TX | |
| Professional Counselor | 101YP2500X | 11613 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 4555 | TX |
Addresses
Primary practice location
16019 Via Shavano
San Antonio, TX 78249-2370
Mailing address
16019 Via Shavano
San Antonio, TX 78249-2370
Phone (210) 696-9292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026463201 | Medicaid | TX | |
| 742982794 | Other | TX | TAX IDENTIFICATION NUMBER |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4169 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 4555 | TX | MD | Marriage & Family Therapist |
| 11613 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1871656546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16019 VIA SHAVANO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492370",
"telephone_number": "210-696-9292",
"fax_number": "210-690-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "THOMAS",
"middle_name": "BARKSDALE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-17",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "4169",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11613",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4555",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026463201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "742982794",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.