Active NPI
Anthony Craig Bowyer, LCAS
- Addiction (Substance Use Disorder) Counselor
- Chapel Hill, NC
National Provider Identifier
1962726570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3122
- Practice address
- 118 New Stateside Dr
Chapel Hill, NC 27516-1165 - Phone
- (919) 942-2803
- Fax
- (919) 442-1842
- NPI assigned
- Mar 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3122 | NC | Primary |
Addresses
Primary practice location
118 New Stateside Dr
Chapel Hill, NC 27516-1165
Mailing address
104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803
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 |
|---|---|---|---|
| 3122 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom House Recovery Center, Inc. | Past | Accepting new patients | |
| Freedom House Recovery Center, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1548490378
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1609047158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1962726570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-2803",
"fax_number": "919-942-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-2803",
"fax_number": "919-442-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWYER",
"first_name": "ANTHONY",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.