MARY ASHTON FOWLER P-LPC
NPI 1497468847
Counselor in Southaven, MS

Q: What is Mary Fowler's NPI number?

The NPI number for Mary Fowler is 1497468847. It was assigned to this individual provider in the NPPES registry on December 30, 2022.

Q: What is Mary Fowler's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fowler was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 30, 2022PECOS EnrolledAccepts Medicare Assignment

5915 GETWELL RD BLDG B, SOUTHAVEN, MS 38672(662) 349-2979(662) 349-2978 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Ashton Fowler P-lpc NPPES

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

MARY ASHTON FOWLER P-LPC (NPI 1497468847) is an individual counselor in Southaven, Mississippi, licensed in Mississippi (P-0653) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497468847

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARY ASHTON FOWLERCredential: P-LPC

Location Address5915 GETWELL RD BLDG BSouthaven, MS 38672-6455

Mailing Address5915 Getwell Rd Bldg BSouthaven, MS 38672-6455 · (662) 349-2979 · Fax (662) 349-2978

Phone(662) 349-2979

Fax(662) 349-2978

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 30, 2022

NPPES CertifiedDecember 30, 2022

✔ NPI 1497468847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MS · P-0653

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5915 GETWELL RD BLDG B, Southaven, MS 38672

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and more.Insurance ›

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

Mary Ashton Fowler P-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 ID7618499393

PECOS Enrollment IDI20250324000104

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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