RICHARD JAY BOSSCHER LMSW NPI 1295746022

NPI Information

  • NPI: 1295746022
  • Provider Name: RICHARD JAY BOSSCHER, LMSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 520 SUPERIOR ST
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 984-4202

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NPI Details

Richard Jay Bosscher, LMSW is a mental health counselor in Port Huron, MI. Richard Jay Bosscher, LMSW NPI is 1295746022. 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:

520 SUPERIOR ST
PORT HURON, MI
ZIP 48060-838
Phone: (810) 984-4202
Fax: (810) 984-8896

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental Health68010011244MICHIGANYes

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
1OG46054003MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 11/21/2025

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