Individual provider Active NPI

Gary Michael Bohn, LCPC, CADC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1982038352
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2019 S Chicago St
Joliet, IL 60436-3168
Phone
(815) 529-9644
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30919 IL
Professional Counselor 101YP2500X Primary
Mental Health Counselor 101YM0800X 180.016542 IL

Addresses

Primary practice location

2019 S Chicago St
Joliet, IL 60436-3168

Mailing address

704 Florence Ave
Joliet, IL 60433-2002
Phone (815) 529-9644

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001403 IL Practitioner - Mental Health Counselor 2163937343 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30919ILMDAddiction (Substance Use Disorder) Counselor
180.016542ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Existential Counselors Society LTD CurrentSince Jan 18, 2026 Accepting new patients
Matrix Mental Health LTD CurrentSince Jun 8, 2025 Accepting new patients
Etcetera Treatment and Counseling Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Existential Counselor Society Addiction (Substance Use Disorder) CurrentSince Jan 18, 2026 Accepting new patients

Locations

1225 Richards St
Joliet, IL 60433
Phone (312) 554-5431

2019 S Chicago St
Joliet, IL 60436
Phone (708) 223-2698

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1982038352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 FLORENCE AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332002",
            "telephone_number": "815-529-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 S CHICAGO ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604363168",
            "telephone_number": "815-529-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHN",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30919",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.