NPIMap

Organization Active NPI

Dr Bill Bautista LCSW LLC

Doing business as Dr Bill Bautista & Associates

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1699483156
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DR BILL BAUTISTA LCSW LLC
Doing business as
Dr Bill Bautista & Associates
Practice address
2205 Point Blvd Ste 210
Elgin, IL 60123-7840
Phone
(847) 946-2958
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. William Bautista, DSW, LCSWNPI 1023351376
Title
Owner / Psychotherapist
Phone
(847) 946-2958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2205 Point Blvd Ste 210
Elgin, IL 60123-7840

Mailing address

2205 Point Blvd Ste 210
Elgin, IL 60123-7840
Phone (847) 946-2958

Other identifiers 1

IdentifierTypeStateIssuer
149015794OtherILLCSW

Other names 1

  • Dr Bill Bautista & Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drbillbautista.com Direct

National Provider Directory

National Provider Directory

Locations

2205 Point Blvd
Ste 210
Elgin, IL 60123
Phone (847) 946-2958

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1699483156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-946-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-946-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BILL BAUTISTA LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-946-2958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149015794",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drbillbautista.com",
            "affiliation": "N",
            "endpointDescription": "primary website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2205 Point Blvd Ste 210",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr Bill Bautista & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.