William Taft Bowden, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.004084 Issued in IL

Practice address

3939 Blackstone Ave
B1
Markham, IL 60428-4425

Phone

(708) 283-1631

Fax

(708) 747-6379

NPI assigned

Nov 22, 2010

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1407158603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 BLACKSTONE AVE",
            "address_2": "B1",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284425",
            "telephone_number": "708-283-1631",
            "fax_number": "708-747-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BLACKSTONE AVE",
            "address_2": "B1",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284425",
            "telephone_number": "708-283-1631",
            "fax_number": "708-747-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "WILLIAM",
        "middle_name": "TAFT",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Markham, IL
• Providers in Markham, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.