Individual provider Active NPI

John Benson Rowe, MA, LMFT

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1912936402
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
498 Issued in NC
Practice address
4108 Park Rd Ste 310
Charlotte, NC 28209-2261
Phone
(704) 490-4000
Fax
(704) 490-4100
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 498 NC Primary

Addresses

Primary practice location

4108 Park Rd Ste 310
Charlotte, NC 28209-2261

Mailing address

4108 Park Rd Ste 310
Charlotte, NC 28209-2261
Phone (704) 490-4000

Other identifiers 1

IdentifierTypeStateIssuer
73517OtherNCBLUECROSS BLUESHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000994 NC Practitioner - Marriage and Family Therapist 7810966918 Practice locations: Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4108 Park Rd
Suite 310
Charlotte, NC 28209-2261
Phone (704) 490-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
498NCMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1912936402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 PARK RD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092261",
            "telephone_number": "704-490-4000",
            "fax_number": "704-490-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 PARK RD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092261",
            "telephone_number": "704-490-4000",
            "fax_number": "704-490-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "JOHN",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "73517",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.