Roshaun Bowens

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1780165582 Issued in IL

Practice address

900 Ridge Rd Ste 1S
Homewood, IL 60430-1934

Phone

(708) 637-1672

NPI assigned

Dec 15, 2020

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

Practice roles

Locations

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.

• B3 Enterprises

  • Psychologist
  • Chicago, IL
  • NPI 1063206530
  NPD Authorized official
• MWC Foundation Inc.

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1275145716
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1841886736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 S EUCLID AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492437",
            "telephone_number": "615-238-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE 1S",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301934",
            "telephone_number": "708-637-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "ROSHAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1780165582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Emily Bonke, LPC, ATR-P
• Barry Bonner, RPH
• Jessica Bonner, PHD
• Agnieszka Boruc, N.P.
• Amani Bosley, PA
• Georgia Boxer, LPC, NCC
• Cindy L Boyer, D.N.
• Porscha Nikole Bradford, LSW
• Bradley Counseling & Consulting, LLC
• Peter Bradley Sr., MA, LCPC, CRADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.