MEDICARE: DR. NIKOL V BOWEN PHD, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E0700105	OH
2	101YP2500X	Professional Counselor	37PC01094700	NJ

General Provider Information

NPI Number	:	1881015493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKOL V BOWEN PHD, LPC

Provider Business Mailing Address
First Line	:	1157 WHITNEY LN
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-3688
Country	:	US
Telephone Number	:	614-899-0075
Fax Number	:	614-899-0075

Provider Business Practice Location Address
First Line	:	1890 NORTHWEST BLVD
Second Line	:	SUITE 140
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1637
Country	:	US
Telephone Number	:	614-899-0075
Fax Number	:	614-899-0075

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2013
Last Update Date	:	01/09/2025

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