MS. JENNIFER R BOVEE LCSW CRADC NPI 1558596833

NPI Information

  • NPI: 1558596833
  • Provider Name: MS. JENNIFER R BOVEE, LCSW, CRADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 205 N WILLIAMSBURG DR STE A
    BLOOMINGTON, IL
    ZIP 61704
  • Phone: (309) 807-5077

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NPI Details

MS. Jennifer R Bovee, LCSW, CRADC is a mental health counselor in Bloomington, IL. MS. Jennifer R Bovee, LCSW, CRADC NPI is 1558596833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 N WILLIAMSBURG DR STE A
BLOOMINGTON, IL
ZIP 61704-721
Phone: (309) 807-5077
Fax: (309) 214-9679

The NPI 1558596833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/15/2009 and was last updated on 8/27/2021.

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 Health149012901ILLINOISYes

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: 3/30/2025

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