Individual provider Active NPI

Henrietta Catherine McGowan, LMHC,LPC, CAP, NCC

  • Mental Health Counselor
  • Fernandina Beach, FL
National Provider Identifier
1922253764
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7983 Issued in FL
Practice address
405 Georgia Ave
Fernandina Beach, FL 32034-4843
Phone
(904) 556-6829
Fax
(202) 330-4600
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7983 FL Primary

Addresses

Primary practice location

405 Georgia Ave
Fernandina Beach, FL 32034-4843

Mailing address

405 Georgia Ave
Fernandina Beach, FL 32034-4843
Phone (904) 556-6829

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

LicenseStateTypeSpecialty
MH7983FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1922253764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GEORGIA AVE",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344843",
            "telephone_number": "904-556-6829",
            "fax_number": "202-330-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GEORGIA AVE",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344843",
            "telephone_number": "904-556-6829",
            "fax_number": "202-330-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "HENRIETTA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "LMHC,LPC, CAP, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.