David Michael Bowman
Individual provider Active NPI Mental Health Counselor · Clinton, IL
NPI 1821324880 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1821324880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180003268 (IL)
- Practice address
- 422 W White St
Clinton, IL 61727-2272 - Phone
- (217) 935-9571
- NPI assigned
- Oct 27, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Clinton
Practice addresses (Care Compare)
422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130002739 | IL | Practitioner - Mental Health Counselor | 1557383205 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180003268 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180003268 | IL | Yes |
Addresses
Primary practice location
422 W White St
Clinton, IL 61727-2272
Mailing address
422 W White St
Clinton, IL 61727-2272
Other providers in Clinton, IL
- Katherine Ann Adler
- Allen Chiropractic Health Clinic
- BL Behavioral Health PLLC
- Bruce C Butler
- Amy Marie Cabrera
- Theresa Agnes Calvert
- Cheryl A Carmack
- Cdonnan Enterprises LLC
All providers in Clinton, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.