Alexandra Bosma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180009366 Issued in IL

Practice address

939 W North Ave Ste 750
Chicago, IL 60642-7142

Phone

(847) 461-9707

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexandra Bosma LCPC, PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1831771435
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1013331040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 S WALNUT AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053056",
            "telephone_number": "847-461-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427142",
            "telephone_number": "847-461-9707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Marion St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022809",
            "country_code": "US",
            "telephone_number": "708-383-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Davis St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014491",
            "country_code": "US",
            "telephone_number": "815-258-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSMA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Boshardy
• Allison Boshes, PA-C
• Iwona Boska, APRN
• Amy Elizabeth Bosko
• Emma Hallie Boslet, M.D.
• Stacy Bosma, RPH
• Suzanne Allison Bosman, MD
• Kevin Bosnoyan, M.D
• Adrian Camil Bosowski, PHARM.D.
• Boss Optical Inc

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.