Active NPI
Bess Practice LLC
- Mental Health Counselor
- Peoria Heights, IL
National Provider Identifier
1194201335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.010040
- Legal business name
- BESS PRACTICE LLC
- Practice address
- 712 E War Memorial Dr Ste D
Peoria Heights, IL 61616-7548 - Phone
- (309) 696-5071
- Fax
- (309) 403-0346
- NPI assigned
- Jul 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise Annette Bow, LCPC
- Title
- Owner
- Phone
- (309) 696-5071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.010040 | IL | Primary |
Addresses
Primary practice location
712 E War Memorial Dr Ste D
Peoria Heights, IL 61616-7548
Mailing address
712 E War Memorial Dr Ste D
Peoria Heights, IL 61616-7548
Phone (309) 696-5071
National Provider Directory
National Provider DirectoryLocations
4617 N Prospect Rd
Ste 10A
Peoria Heights, IL 61616
712 E War Memorial Dr
Ste D
Peoria Heights, IL 61616
Phone (309) 326-5820
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Peoria Heights, IL
- NPI 1972838845
-
- Clinical Social Worker
- Peoria Heights, IL
- NPI 1578164224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1194201335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 E WAR MEMORIAL DR STE D",
"city": "PEORIA HEIGHTS",
"state": "IL",
"postal_code": "616167548",
"telephone_number": "309-696-5071",
"fax_number": "309-403-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E WAR MEMORIAL DR STE D",
"city": "PEORIA HEIGHTS",
"state": "IL",
"postal_code": "616167548",
"telephone_number": "309-696-5071",
"fax_number": "309-403-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESS PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "BOW",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-696-5071",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.