Lisa Bohn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007561 Issued in IL

Practice address

900 Pyott Rd Ste 102
Crystal Lake, IL 60014

Phone

(815) 444-9076

NPI assigned

Apr 18, 2018

Last updated

Aug 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J B Day IncGroup PAC ID 6002163920, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• J B Day, Inc.

  dba Be Well Counseling & Wellness

  • Clinical Social Worker
  • Barrington, IL
  • NPI 1811492481
  Medicare reassignment Care Compare group NPD
• Steven Mesmer & Associates, LLC

  • Mental Health Counselor
  • Crystal Lake, IL
  • NPI 1851178719
  NPD (past)
• The Art of Living Counseling Center, Inc.

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1235253824
  NPD (past)
• Vitality Counseling

  • Professional Counselor
  • Algonquin, IL
  • NPI 1972962272
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1235626912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PYOTT RD STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148717",
            "telephone_number": "815-444-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PYOTT RD STE 102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-444-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Park Ave # Ll4",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600104370",
            "country_code": "US",
            "telephone_number": "847-713-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHN",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Blumthal
• Summer Evalyn Schaal Bochat, DPM
• Susan Lynn Bockman, MSN, CNP
• Bodyshop Professional Massage Therapy
• Kimberly A Boersma
• David W Bojan, D.D.S.
• Otilia Boncu, APN, NP-C
• Jenissa Boneta
• Angela D Bonneville
• Niccolo Anthony Bonomo

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, 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 Aug 2, 2018; 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.