MR. HOWARD JEROME OWENS LCPC NPI 1760261523

NPI Information

NPI: 1760261523
Provider Name: MR. HOWARD JEROME OWENS, LCPC
Classification: Clinic/Center - 261QM0801X
Entity Type: Individual

Specialization: Mental Health (Including Community Mental Health Center)

Address:
600 WEST GRAND AVENUE ALLENDALE ASSOCIATION
LAKE VILLA, IL
ZIP 60046
Phone: (847) 245-6170
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MR. Howard Jerome Owens, LCPC is a mental health (including community mental health center) clinic center in Lake Villa, IL. MR. Howard Jerome Owens, LCPC NPI is 1760261523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 WEST GRAND AVENUE ALLENDALE ASSOCIATION
LAKE VILLA, IL
ZIP 60046
Phone: (847) 245-6170
Fax: (847) 356-0209

The enumeration date for this NPI number is 9/21/2023 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	362177140001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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