JON M BORMANN LCPC NPI 1144856022

NPI Information

NPI: 1144856022
Provider Name: JON M BORMANN, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
710 N 8TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 525-1064
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Jon M Bormann, LCPC is a professional counselor in Springfield, IL. Jon M Bormann, LCPC NPI is 1144856022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

710 N 8TH ST
SPRINGFIELD, IL
ZIP 62702-324
Phone: (217) 525-1064
Fax: (217) 525-1651

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.01227	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180012287	OTHER	ILLINOIS	LCPC LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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