Healthcare Provider Details

I. General information

NPI: 1518895366
Provider Name (Legal Business Name): ADAM BOWEN LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 DELAWARE ST
DENVER CO
80216-2618
US

IV. Provider business mailing address

3350 34TH ST APT D
BOULDER CO
80301-1944
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8113
  • Fax:
Mailing address:
  • Phone: 276-698-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0023569
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: