JACQUELINE C BOWERMAN (LPCC) – Professional Counselor, NPI 1720328586

JACQUELINE C BOWERMAN (LPCC) is a healthcare provider. based in Sandusky, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. E.0900137 (OH). The NPI Number for JACQUELINE C BOWERMAN (LPCC) is 1720328586

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE C BOWERMAN (LPCC)
NPI
1720328586
Phone
(419) 557-5177
Address
1925 HAYES AVE
Enumeration Date
15 February 2013
Last Update Date
25 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139849838
Graduation Year
2009 (17 years ago)
PAC ID
8022469253
Group Practice PAC ID
6709772387
Professional Enrollment ID
I20240111003138
Address ID
OH452422851BL10921HWYX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for JACQUELINE C BOWERMAN (LPCC)

  • 1925 HAYES AVE

    SANDUSKY, OH 448704737

    Phone: (419) 557-5177

    Fax: (419) 557-5179

    Type: Mailing

  • 675 BARTSON RD

    FREMONT, OH 434209672

    Phone: (419) 335-3325

    Fax: (419) 332-7581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240111003138IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44870)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709772387View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Can I use this page to confirm JACQUELINE C BOWERMAN (LPCC)'s NPI?
Yes. JACQUELINE C BOWERMAN (LPCC) is listed with NPI 1720328586 in the public NPI dataset.
Can I rely on JACQUELINE C BOWERMAN (LPCC) being an active provider?
As of the registry snapshot, JACQUELINE C BOWERMAN (LPCC) is marked active.
What taxonomy line describes JACQUELINE C BOWERMAN (LPCC)?
For research purposes, treat JACQUELINE C BOWERMAN (LPCC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does JACQUELINE C BOWERMAN (LPCC) serve?
JACQUELINE C BOWERMAN (LPCC)'s listing highlights Sandusky, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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