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

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: October 18, 2026.

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
Open in Google Maps ↗

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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carlissa Bowen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Families, Inc Of Arkansas
Same address
Mental Health (Including Community Mental Health Center)
1815 PLEASANT GROVE RD
Jonesboro, AR 72405
  • Reassigned Medicare billing, Arkansas enrollment
  • 134 clinicians in this Medicare group
NPI 1770535569 (870) 933-6886
Edgar-Gray Counseling, PLLC
2.9 mi
Mental Health (Including Community Mental Health Center)
2909 KING ST STE A
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 6 clinicians in this Medicare group
NPI 1972010106 (870) 351-5020

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.

SARAH LYNN MATTHEWS MHPP
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
ALISON JOHNSON CPS, ADC
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
RONALD ALLEN YOUNG II LCSW
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
JOSHUA NEELEY
Specialist
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
MRS. AMBER BROOKE WEAVER LCSW
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
JANET STEWART RN
Registered Nurse
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
TINA VANESSA BAILEY LPC
Counselor (Professional)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
MR. DAVID A SHADE M.S., LPE-I
Psychologist
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886

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 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.

Where is Carlissa Bowen located?

Carlissa Bowen practices at 1815 Pleasant Grove Rd, Jonesboro, AR 72401. The listed phone number is (870) 933-6886.

What is Carlissa Bowen's specialty?

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

Is Carlissa Bowen enrolled in Medicare?

Yes. Carlissa Bowen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carlissa Bowen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlissa Bowen reassigns Medicare benefits to 2 organizations: Families, Inc Of Arkansas (Jonesboro, AR) and Edgar-Gray Counseling, PLLC (Jonesboro, AR). Each 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 Carlissa Bowen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlissa Bowen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carlissa Bowen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.