MIKAYLA RAY BOWDEN LPC
NPI 1407587843
Counselor - Mental Health in Rock Hill, SC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment

455 LAKESHORE PKWY, ROCK HILL, SC 29730(803) 909-6363(877) 658-8669 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, May 16, 2025 (2 updates tracked since 2025).

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About Mikayla Ray Bowden Lpc NPPES

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

MIKAYLA RAY BOWDEN LPC (NPI 1407587843) is an individual mental health provider in Rock Hill, South Carolina, licensed in South Carolina (11448) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407587843

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMIKAYLA RAY BOWDENCredential: LPC

Location Address455 LAKESHORE PKWYRock Hill, SC 29730-4205

Mailing Address455 Lakeshore PkwyRock Hill, SC 29730-4205 · (803) 909-6363

Phone(803) 909-6363

Fax(877) 658-8669

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 17, 2022

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1407587843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in SC · 11448

455 LAKESHORE PKWY, Rock Hill, SC 29730

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikayla Ray Bowden Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294228532

PECOS Enrollment IDI20251204001532

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.