Lara Fowler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-43400 Issued in MT

Practice address

600 S Main St Ste 10
Conrad, MT 59425-2532

Phone

(406) 201-9414

Fax

(406) 278-0330

NPI assigned

Jan 24, 2020

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Onyx Counseling & Consultation

  • Clinical Social Worker
  • Conrad, MT
  • NPI 1366282113
  NPD Authorized official
• Eastern Front Counseling LLC

  • Counselor
  • Conrad, MT
  • NPI 1427604354
  NPD

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972133395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 10",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252532",
            "telephone_number": "406-201-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 10",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252532",
            "telephone_number": "406-201-9414",
            "fax_number": "406-278-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 2nd Ave N Ste 350",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594013259",
            "country_code": "US",
            "telephone_number": "406-201-9414",
            "fax_number": "406-278-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-43400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad School District
• Clifford Wayne Davis, PAC
• Keri Lynn Degroat, L.A.C.
• Eastern Front Counseling LLC
• Farm View Dental PLLC
• Bethanie Nicole Funderburk, DPT
• Golden Triangle Compounding, LLC
• Patricia J Grena, DO
• Ilene Birnell Hawkinson, PA
• Michael M Hewett, PA

• Clinical Social Worker in Conrad, MT
• Providers in Conrad, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.