CARLISSA MAY BOWEN LPC
NPI 1730356312
Counselor - Professional in Jonesboro, AR

Q: What is Carlissa Bowen's NPI number?

The NPI number for Carlissa Bowen is 1730356312. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Carlissa Bowen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Carlissa Bowen was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 13, 2008PECOS EnrolledAccepts Medicare Assignment

1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carlissa May Bowen Lpc NPPES

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

CARLISSA MAY BOWEN LPC (NPI 1730356312) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P0806047) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730356312

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCARLISSA MAY BOWENCredential: LPC

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870

Mailing Address1425 W Main StWalnut Ridge, AR 72476-1431 · (870) 886-5303 · Fax (870) 886-7002

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 13, 2008

Last NPPES UpdateJune 6, 2018

✔ NPI 1730356312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P0806047

1815 PLEASANT GROVE RD, Jonesboro, AR 72401

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Other Identifiers 2

Other5A989AR · Bcbs

Medicaid169854795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Carlissa May Bowen 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 ID1153779921

PECOS Enrollment IDI20240220001894

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 20

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

SARAH LYNN MATTHEWS MHPP

Case Manager/Care Coordinator