Organization Active NPI

J.Bowen: a Corporation of Licensed Clinical Social Workers

  • Mental Health Counselor
  • Glendale, CA
National Provider Identifier
1982169926
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
J.BOWEN: A CORPORATION OF LICENSED CLINICAL SOCIAL WORKERS
Practice address
410 Arden Ave Ste 201
Glendale, CA 91203-4006
Phone
(626) 325-8511
Fax
(818) 637-7730
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Jennifer M Bowen, LCSWNPI 1649397142
Title
Ceo
Phone
(626) 823-1504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

410 Arden Ave Ste 201
Glendale, CA 91203-4006

Mailing address

410 Arden Ave Ste 201
Glendale, CA 91203-4006
Phone (626) 325-8511

Other identifiers 1

IdentifierTypeStateIssuer
1649397142OtherCAOTHER NPI NUMBER

Other names 1

  • ClockWise Counseling Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1982169926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034006",
            "telephone_number": "626-325-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034006",
            "telephone_number": "626-325-8511",
            "fax_number": "818-637-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.BOWEN: A CORPORATION OF LICENSED CLINICAL SOCIAL WORKERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-823-1504",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER NPI NUMBER",
            "identifier": "1649397142",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClockWise Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.