Individual provider Active NPI

Neal A Bowen, PHD, LPCC

  • Counseling Psychologist
  • Lordsburg, NM
National Provider Identifier
1942287602
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1020 Issued in NM
Practice address
530 Demoss St.
Hidalgo Medical Services
Lordsburg, NM 88045-2618
Phone
(505) 542-2371
Fax
(575) 542-2388
NPI assigned
Dec 23, 2005
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0088451 NM
Mental Health Counselor 101YM0800X LH00008191 WA
Counseling Psychologist 103TC1900X 1020 NM Primary

Addresses

Primary practice location

530 Demoss St.
Hidalgo Medical Services
Lordsburg, NM 88045-2618

Mailing address

530 Demoss Street
Hidalgo Medical Services
Lordsburg, NM 88045-2618
Phone (505) 542-2371

Other identifiers 2

IdentifierTypeStateIssuer
342730907OtherNMMEDICARE PTAN
34186875MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20071107000262 NM Practitioner - Clinical Psychologist 6901820893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0088451NMMDCounselor
LH00008191WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hidalgo Medical Services Current Accepting new patients
Hidalgo Medical Services CurrentSince Jan 1, 2025 Accepting new patients

Locations

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

Organizations & group practices 2

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1942287602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DEMOSS STREET",
            "address_2": "HIDALGO MEDICAL SERVICES",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "505-542-2371",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DEMOSS ST.",
            "address_2": "HIDALGO MEDICAL SERVICES",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "505-542-2371",
            "fax_number": "575-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "NEAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0088451",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008191",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "342730907",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34186875",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lordsburg, NM

Sources for this page

Verify at the official NPI Registry.