Organization Active NPI

Bess Practice LLC

  • Mental Health Counselor
  • Peoria Heights, IL
National Provider Identifier
1194201335
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010040 Issued in IL
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

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.