Kathryn Bowen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40500 Ann Arbor Rd E Ste 200a
Plymouth, MI 48170-4498

Phone

(323) 766-2345

NPI assigned

Sep 19, 2018

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1881178564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40500 ANN ARBOR RD E STE 200A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40500 ANN ARBOR RD E STE 200A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704498",
            "telephone_number": "323-766-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Borowiak
• Justin Bosque
• Kathleen M Bourgeau, OTR
• Leah Bousamra, MA, BCBA
• Chloe Boutton, PA-C
• Mark Bower
• Todd Bowersock
• Xavier Bowie
• Michael Boyce
• Madison Boyd

• Mental Health Counselor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.