Zetta K Bowles, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004791 Issued in VA

Practice address

14558 Danville Pike
Laurel Fork, VA 24352-3982

Phone

(276) 398-2292

Fax

(276) 398-3331

NPI assigned

Feb 28, 2007

Last updated

Oct 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Zetta K Nicely Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri Area Community HealthGroup PAC ID 6204748296, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zetta.bowles@tachc.eclinicaldirectplus.com

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.

• Tri Area Community Health

  dba Tri Area Community Health at Laurel Fork

  • Federally Qualified Health Center (FQHC)
  • Laurel Fork, VA
  • NPI 1346227584
  Medicare reassignment Care Compare group NPD
• Heatherwood Counseling Center, Inc.

  dba Heatherwood Counseling Center

  • Clinical Social Worker
  • Marion, VA
  • NPI 1780614594
  Medicare reassignment NPD
• Tri Area Community Health

  dba Tri Area Community Health at Floyd

  • Federally Qualified Health Center (FQHC)
  • Floyd, VA
  • NPI 1194908491
  NPD
• Tri Area Community Health

  dba Tri Area Community Health at Grayson County Schools

  • Federally Qualified Health Center (FQHC)
  • Independence, VA
  • NPI 1891676300
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1992832547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-1200",
            "fax_number": "276-398-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14558 DANVILLE PIKE",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523982",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Virginia Highlander Rd",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "VA",
            "postal_code": "243753062",
            "country_code": "US",
            "telephone_number": "304-661-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "fax_number": "540-745-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "ZETTA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004791",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wedonotusethis",
            "affiliation": "N",
            "address_1": "140 Christiansburg Pike NE",
            "city": "Floyd",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240913742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZETTA",
            "last_name": "NICELY",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crystal B Alderman, CPHT ADV
• Jordan Anders, PHARMD
• John D Barnett, RPH
• William R Bess Jr., MD
• Bethany Pearl Brintle, LPC
• Cindy Lee Brooms, LPTA
• Rachel Ellen Carter, PHARMD
• Donna Gibson, FNP
• Mary Caroniti Hansen, D.O.

• Clinical Psychologist in Laurel Fork, VA
• Providers in Laurel Fork, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.