Active NPI
Neal A Bowen, PHD, LPCC
- Counseling Psychologist
- Lordsburg, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1020
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342730907 | Other | NM | MEDICARE PTAN |
| 34186875 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0088451 | NM | MD | Counselor |
| LH00008191 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current | Accepting new patients | |
| Hidalgo Medical Services | Current | 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.
-
dba HMS
- Federally Qualified Health Center (FQHC)
- Lordsburg, NM
- NPI 1306843180
-
dba HMS Cliff-Gila Community Health Center
- Federally Qualified Health Center (FQHC)
- Gila, NM
- NPI 1427041490
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.