Mark Elliot Bovenkerk

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3026406 Issued in CA

Practice address

1408 A St
Antioch, CA 94509-2331

Phone

(925) 978-2873

NPI assigned

Jul 3, 2026

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J Cole Recovery Homes, Inc

  • Substance Abuse Rehabilitation Facility
  • Antioch, CA
  • NPI 1376766238
  NPD (past)

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1659298263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092331",
            "telephone_number": "925-978-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 A ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092331",
            "telephone_number": "925-978-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVENKERK",
        "first_name": "MARK",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "3026406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Borozzi
• Maria X. Borquez, MD
• Kristin N Boswell
• Mari L Bourret
• Wanda Ramona Boutte
• Estella Bowlsby
• Ajae Boyd
• George Edward Boyd, RPH
• Adeline A Boye, PSY.D
• Leeah Brackenridge

• Addiction (Substance Use Disorder) Counselor in Antioch, CA
• Providers in Antioch, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.