Individual provider Active NPI

Erica Yvonne Bower, MS ED. LPC

  • Professional Counselor
  • Vernon, CT
National Provider Identifier
1902147622
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002240 Issued in CT
Practice address
131 Echo Ridge Dr
Vernon, CT 06066-5909
Phone
(570) 772-5140
Fax
(860) 969-4551
NPI assigned
Mar 5, 2013
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002240 CT Primary

Addresses

Primary practice location

131 Echo Ridge Dr
Vernon, CT 06066-5909

Mailing address

131 Echo Ridge Dr
Vernon, CT 06066-5909
Phone (570) 772-5140

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 Science

State licenses

LicenseStateTypeSpecialty
002240CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling and Wellness Professional CurrentSince Oct 4, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1902147622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ECHO RIDGE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665909",
            "telephone_number": "570-772-5140",
            "fax_number": "860-969-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ECHO RIDGE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665909",
            "telephone_number": "570-772-5140",
            "fax_number": "860-969-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ERICA",
        "middle_name": "YVONNE",
        "credential": "MS ED. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.