Organization Active NPI

Holly C Bosier Licensed Clinical Professional Counselor PC

  • Mental Health Counselor
  • Libertyville, IL
National Provider Identifier
1346345824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOLLY C BOSIER LICENSED CLINICAL PROFESSIONAL COUNSELOR PC
Practice address
1590 S Milwaukee Ave
Suite 303
Libertyville, IL 60048
Phone
(708) 205-0084
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Holly C Bosier, MA LCPCNPI 1174795140
Title
Licensed Ciinical Professional Coun
Phone
(708) 205-0084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

1590 S Milwaukee Ave
Suite 303
Libertyville, IL 60048

Mailing address

1590 S Milwaukee Ave
Suite 303
Libertyville, IL 60048
Phone (708) 205-0084

Other identifiers 2

IdentifierTypeStateIssuer
410235OtherILVALUE OPTIONS
0001634643OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1590 S Milwaukee Ave
Ste 303
Libertyville, IL 60048
Phone (224) 358-3808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346345824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 303",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "708-205-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 S MILWAUKEE AVE",
            "address_2": "SUITE 303",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "708-205-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY C BOSIER LICENSED CLINICAL PROFESSIONAL COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSIER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED CIINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "708-205-0084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "410235",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001634643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.