Active NPI
Mylyia Bowers Newton, LMFT
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1881131498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12015A
- Practice address
- 521 Clanton Rd
Charlotte, NC 28217-1369 - Phone
- (704) 332-9001
- NPI assigned
- Jan 21, 2017
- Last updated
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2163 | NC | |
| Marriage & Family Therapist | 106H00000X | 12015A | NC | Primary |
Addresses
Primary practice location
521 Clanton Rd
Charlotte, NC 28217-1369
Mailing address
521 Clanton Rd
Charlotte, NC 28217-1369
Phone (704) 332-9001
Other names 1
- Miss Mylyia Shynique Bwers
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12015A | NC | MD | Marriage & Family Therapist |
| 2163 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Centers for Wellbeing | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1447438106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1881131498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 CLANTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171369",
"telephone_number": "704-332-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 CLANTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171369",
"telephone_number": "704-332-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "MYLYIA",
"middle_name": "BOWERS",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-21",
"last_updated": "2022-11-23",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "2163",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "12015A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYLYIA",
"last_name": "BWERS",
"middle_name": "SHYNIQUE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.