Active NPI
James Boggess
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1902216849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.007483
- Practice address
- 2656 W Montrose Ave
Chicago, IL 60618-1559 - Phone
- (773) 267-5795
- Fax
- (773) 267-4787
- NPI assigned
- Apr 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.007483 | IL | Primary |
Addresses
Primary practice location
2656 W Montrose Ave
Chicago, IL 60618-1559
Mailing address
2656 W Montrose Ave
Chicago, IL 60618-1559
Phone (773) 267-5795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.007483 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon Senior Counseling of Illinois LLC | Clinical | Current | Accepting new patients |
| Crossroads Counseling Services, PLLC | Clinical | Current | Accepting new patients |
| Mary and Tom Leo Associates, Inc. | Past | Accepting new patients |
Locations
1802 N Division St
Ste 509
Morris, IL 60450
Phone (815) 941-4700
601 W Norris Dr
Ste B
Ottawa, IL 61350
Phone (815) 431-1800
10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1841562931
-
- Adult Mental Health Clinic/Center
- Morris, IL
- NPI 1427205111
Clinical
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1174845291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1902216849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2656 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181559",
"telephone_number": "773-267-5795",
"fax_number": "773-267-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181559",
"telephone_number": "773-267-5795",
"fax_number": "773-267-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGESS",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.007483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.