TRICIA BOWERMAN (NPI# 1447608567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447608567 |
| Entity Type | Individual |
| Full Name | TRICIA BOWERMAN |
| Other Name | TRICIA KIPFER |
| Credential | LMFTA |
| Practice Address |
3265 Intertech Dr Angola IN 46703-7325 |
| Mailing Address |
Po Box 817 Kendallville IN 46755-0817 |
| Practice Telephone | 2606659494 |
| Practice Fax Number | 2606659496 |
| Mailing Telephone | 2603472453 |
| Mailing Fax Number | 2603472456 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 85000267A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 85000267A | 01 |
| Street Address |
3265 INTERTECH DR |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-7325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003834128 | Teresa J. Greiner | Psychiatry & Neurology | 3265 Intertech Dr, Angola, IN 46703-7325 | 2006-07-17 |
| 1912546052 | Alexandra Marie Konyndyk | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2020-01-06 |
| 1619521994 | Dustin R Peck | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2019-07-25 |
| 1730649583 | Tracy Lynn Musser | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2019-03-20 |
| 1538639703 | Martha Christine Faunce | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2018-11-30 |
| 1245700889 | Simone Frappier | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703 | 2018-11-27 |
| 1669940839 | Adrienne Long | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2018-11-06 |
| 1780151712 | Kimberly Ann Owen | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2018-10-29 |
| 1144797259 | Valerie Lynne Case | Case Manager/Care Coordinator | 3265 Intertech Dr, Angola, IN 46703-7325 | 2018-10-26 |
| 1962956888 | Elizabeth A Andres | Social Worker | 3265 Intertech Dr, Angola, IN 46703-7325 | 2016-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578686747 | Margaret Ann Boswell | Marriage & Family Therapist | 603 N Wayne St Ste 2a, Angola, IN 46703-1080 | 2007-04-10 |
| 1932127339 | The Sante' Group, Inc. | Marriage & Family Therapist | 430 N Wayne St Ste 201, Angola, IN 46703-1569 | 2006-07-17 |
| 1225690092 | Connie Rose Cope | Marriage & Family Therapist | 603 N Wayne St Ste 2a, Angola, IN 46703-1080 | 2019-07-02 |
| 1437559077 | L. Colleen Mccarthy | Marriage & Family Therapist | 200 Hoosier Dr Ste E, Angola, IN 46703-9349 | 2014-09-02 |
| 1477805190 | Kylie R Lowry | Marriage & Family Therapist | 200 Hoosier Dr Ste E, Angola, IN 46703-9349 | 2012-10-04 |
| 1215247317 | Margaret Katherine Fisher | Marriage & Family Therapist | 603 N Wayne St, Angola, IN 46703-1081 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.