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Active NPI 1093027377 Individual Practitioner Female Practitioner

Stephanie Jan Bowles , MED, CRC, LPC, NCC

Counselor • Gooding, ID

Professional Overview & Biography Verified Profile Summary

Stephanie Bowles, MED, CRC, LPC, NCC is a registered healthcare professional specializing in Counselor in Gooding, ID. Practice services are available at 215 UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 University Dr

Gooding, ID 833306155

Telephone 2085954946
Associated Practice Facility / Clinic
🏢 Pro Active Advantage, Llc Facility NPI 1366562316

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Gooding, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Gooding, ID (507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LPC-4032

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Joshua Cooke , MS LPC NCC QSUDP

Counselor - Mental Health

NPI 1316344625

MSLPCNCCQSUDP

Denise Jensen , LPC

Counselor - Professional

NPI 1346503877

Licensed Professional Counselor

NPI 1649525049

Licensed Master Social Worker

NPI 1669820346

Licensed Master Social Worker, QSUDP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2010

Registered at 215 UNIVERSITY DR, GOODING, ID 833306155 (Tel: 2085954946)

📍
Updated Business Mailing Address November 30, 2010

Registered at 1107 BAILEY AVE, FILER, ID 833285425 (Tel: 2085851643)

👤
Provider Name / Credentials Updated November 30, 2010

Recorded as STEPHANIE BOWLES, M.ED,CRC,LPC,NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2010

Counselor (License #LPC-4032 in ID)

🟢
Initial NPI Registration & Enumeration July 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093027377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2010
Last Update: November 30, 2010
Sole Proprietor: No

Mailing Address

1107 Bailey Ave

Filer, ID 833285425

Phone: 2085851643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.