JESSE F. BOWEN – NPI #1831774405
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

JESSE BOWEN is a peer specialist located in CENTRALIA, WA. NPPES has assigned the NPI number 1831774405 to JESSE BOWEN on March 15, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

The NPI profile was previously updated about 5 years ago on Aug 13, 2021. See the complete NPI profile for JESSE BOWEN below.

NPI Profile for
JESSE F. BOWEN

NPI Number
1831774405
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE F. BOWEN
Primary location
1126 S GOLD ST
CENTRALIA, WA 98531-3768
Phone: (360) 807-4929 Fax: (360) 807-4160
Mailing address
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone: (360) 200-5419 Fax: (360) 200-6736
Sole Proprietor
No
Updated
Certification Date
Aug 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
WA 61163896
171M00000X
- Case Manager/Care Coordinator
WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.