Deborah Bourne

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

38515 Issued in IL

Practice address

1258 Broadway St
Quincy, IL 62301-2812

Phone

(217) 223-0170

Fax

(217) 223-0147

NPI assigned

Dec 27, 2024

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopewell Clinical, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Quincy, IL
  • NPI 1700600137

  Addiction (Substance Use Disorder)

  NPD
• Hopewell Clinical, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Quincy, IL
  • NPI 1639036890
  NPD (past)

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1134937782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012812",
            "telephone_number": "217-223-0170",
            "fax_number": "217-223-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012812",
            "telephone_number": "217-223-0170",
            "fax_number": "217-223-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "38515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando B Bonanni Jr., MD
• Jared Manlosa Booc
• Booher Health LLC
• Ethan Boren, MOT, OTR, L
• Carol Diane Boulware, LMT
• Victoria Bowen
• Lauren Marie Bozarth, PHARMD
• John M Bozdech, MD
• Arianna Victoria Bracey, APRN, PMHNP-BC
• Kristin Bradshaw, FNP-C

• Addiction (Substance Use Disorder) Counselor in Quincy, IL
• Providers in Quincy, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.