MARIAM KIARA LOWE
NPI 1053934059
Counselor - Mental Health in San Diego, CA
About Mariam Kiara Lowe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM KIARA LOWE (NPI 1053934059) is an individual mental health provider in San Diego, California, licensed in California (96838) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariam Kiara Lowe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariam Lowe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mariam Lowe's NPI number?
The NPI number for Mariam Lowe is 1053934059. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Mariam Lowe located?
Mariam Lowe practices at 928 Broadway, San Diego, CA 92101. The listed phone number is (619) 977-3716.
What is Mariam Lowe's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mariam Lowe enrolled in Medicare?
Yes. Mariam Lowe is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariam Lowe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Lowe reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Lowe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariam Lowe was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mariam Kiara Lowe · NPI 1053934059
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1053934059 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 96838 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 928 BROADWAY, San Diego, CA 92101-5514
- **Phone:** (619) 977-3716
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053934059) · Data from the CMS NPPES public registry.