Active NPI
Isabel Marie McGowan, LMHC
- Mental Health Counselor
- Santa Fe, NM
National Provider Identifier
1972066249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2022-0673
- Practice address
- 5312 Jaguar Dr
Santa Fe, NM 87507-1827 - Phone
- (505) 471-4985
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0202531 | NM | |
| Mental Health Counselor | 101YM0800X | CTB-2022-0673 | NM | Primary |
Addresses
Primary practice location
5312 Jaguar Dr
Santa Fe, NM 87507-1827
Mailing address
967 Verdinal LN
Santa Fe, NM 87505-1214
Phone (505) 469-8602
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 |
|---|---|---|---|
| CSA0202531 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| CTB-2022-0673 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1972066249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 VERDINAL LN",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051214",
"telephone_number": "505-469-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 JAGUAR DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875071827",
"telephone_number": "505-471-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "ISABEL",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CSA0202531",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2022-0673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.