JOHN R. FOWLER LISW-CP, CADC-III
NPI 1073671715
Counselor - Addiction (Substance Use Disorder) in Cownay, SC

Active since December 05, 2006PECOS Enrolled
203 BEATY STREET, COWNAY, SC 29526(843) 248-9216(843) 248-4013 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John R. Fowler Lisw-cp, Cadc-iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN R. FOWLER LISW-CP, CADC-III (NPI 1073671715) is an individual addiction (substance use disorder) provider in Cownay, South Carolina, licensed in Wisconsin (721) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073671715
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN R. FOWLERCredential: LISW-CP, CADC-III
Location Address203 BEATY STREETCownay, SC 29526
Mailing AddressP O Box 30819Myrtle Beach, SC 29588-0014 · (843) 248-9216 · Fax (843) 248-4013
Fax(843) 248-4013
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJanuary 8, 2008
NPI 1073671715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 721
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2307 (SC)
203 BEATY STREET, Cownay, SC 29526

Other Identifiers 1

Medicare UPINQ27145SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John R. Fowler Lisw-cp, Cadc-iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073671715, enumerated as an "individual" on December 05, 2006.

The provider is located at 203 BEATY STREET COWNAY, SC 29526 and the phone number is (843) 248-9216.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.