Active NPI
Holly C Bosier Licensed Clinical Professional Counselor PC
- Mental Health Counselor
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2020
- 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
- Mrs. Holly C Bosier, MA LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410235 | Other | IL | VALUE OPTIONS |
| 0001634643 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Libertyville, IL
- NPI 1174795140
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.