Active NPI
Winifred Bowersox
- Marriage & Family Therapist
- North Andover, MA
National Provider Identifier
1902227242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT #586
- Practice address
- 15 Sawmill Rd
North Andover, MA 01845-1435 - Phone
- (978) 975-0300
- NPI assigned
- Jan 3, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NBCC #1554 | ||
| Mental Health Counselor | 101YM0800X | LMHC #1613 | MA | |
| Marriage & Family Therapist | 106H00000X | LMFT #586 | MA | Primary |
Addresses
Primary practice location
15 Sawmill Rd
North Andover, MA 01845-1435
Mailing address
15 Sawmill Rd
North Andover, MA 01845-1435
Phone (978) 975-0300
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 |
|---|---|---|---|
| LMHC #1613 | MA | MD | Mental Health Counselor |
| LMFT #586 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706400000000",
"number": "1902227242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SAWMILL RD",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451435",
"telephone_number": "978-975-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SAWMILL RD",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451435",
"telephone_number": "978-975-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERSOX",
"first_name": "WINIFRED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2024-01-28",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NBCC #1554",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC #1613",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "LMFT #586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.