Individual provider Active NPI

Allison M Bozovsky, LMFT

  • Marriage & Family Therapist
  • Rockford, IL
National Provider Identifier
1023513181
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001286 Issued in IL
Practice address
5491 Longvalley Dr
Rockford, IL 61109-6514
Phone
(224) 307-6102
NPI assigned
Mar 29, 2018
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 208.000587 IL
Marriage & Family Therapist 106H00000X 166.001286 IL Primary

Addresses

Primary practice location

5491 Longvalley Dr
Rockford, IL 61109-6514

Mailing address

5491 Longvalley Dr
Rockford, IL 61109-6514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166.001286ILMDMarriage & Family Therapist
208.000587ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Bozovsky, LMFT, LLC Marriage & Family Therapist CurrentSince Jan 14, 2024 Accepting new patients
North Shore Family Services, LLC PastSince Apr 26, 2020 Accepting new patients
North Shore Family Services PastSince Dec 28, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1023513181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5491 LONGVALLEY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611096514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 LONGVALLEY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611096514",
            "telephone_number": "224-307-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZOVSKY",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000587",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.