Active NPI
Joseph George Bozic, LMFT
- Marriage & Family Therapist
- Crystal Lake, IL
National Provider Identifier
1063769354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166000972
- Practice address
- 457 Coventry LN Ste 118
Crystal Lake, IL 60014-7571 - Phone
- (815) 444-9210
- NPI assigned
- Aug 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166000972 | IL | Primary |
| Marriage & Family Therapist | 106H00000X | 208000264 | IL |
Addresses
Primary practice location
457 Coventry LN Ste 118
Crystal Lake, IL 60014-7571
Mailing address
1410 Grandview CT
Algonquin, IL 60102-1995
Phone (847) 845-7953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
457 Coventry LN
Suite 118
Crystal Lake, IL 60014-7571
Phone (847) 845-7953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208000264 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Bozic Therapy, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Kenneth Gates and Associates | Past | Accepting new patients |
Locations
457 Coventry Ln
Ste 118
Crystal Lake, IL 60014
Phone (815) 459-5433
8600 US Highway 14
Ste 110
Crystal Lake, IL 60012
Phone (815) 444-9210
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Crystal Lake, IL
- NPI 1548882822
-
- Professional Counselor
- Crystal Lake, IL
- NPI 1235356957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1063769354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 GRANDVIEW CT",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601021995",
"telephone_number": "847-845-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 COVENTRY LN STE 118",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147571",
"telephone_number": "815-444-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZIC",
"first_name": "JOSEPH",
"middle_name": "GEORGE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-06",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166000972",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208000264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.