Jennifer Boehs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.0008793 Issued in IL

Practice address

607 W Burton Ave
Eureka, IL 61530-1356

Phone

(309) 251-1900

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BalancedGroup PAC ID 9830352020, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Balanced

  • Clinical Social Worker
  • Eureka, IL
  • NPI 1225332273
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1154620615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W BURTON AVE",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301356",
            "telephone_number": "309-251-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W BURTON AVE",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301356",
            "telephone_number": "309-251-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHS",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.0008793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apostolic Christian Home of Eureka
• Association for the Developmentally Disabled of Woodford County
• Sheri J Baker, PT
• Balanced
• Ashley Bauman
• Michael Stephen Borzello, DDS
• Amy Braman, LCSW
• Tamra Brisbin, PA
• Bromenn Healthcare, Inc.
• Bromenn Physicians Management Corporation (Town and Country Healthcare)

• Clinical Social Worker in Eureka, IL
• Providers in Eureka, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.

Verify at the official NPI Registry.