DAVID BOVA


Address: 2200 Lake Victoria Dr, Springfield, IL 62703-5596
Phone: 2175299266

DAVID BOVA (NPI# 1679115349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679115349
Entity Type Individual
Full Name DAVID BOVA
Credential LPC
Practice Address 2200 Lake Victoria Dr
Springfield
IL 62703-5596
Mailing Address 55 E Jackson Blvd Ste 1500
Chicago
IL 60604-4137
Practice Telephone 2175299266
Practice Fax Number 2175299151
Mailing Telephone 3126631130
Mailing Fax Number 3126630504
Enumeration Date 2019-10-14
Last Update Date 2019-10-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178014846 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 178014846 01

Office Location

Street Address 2200 LAKE VICTORIA DR
City SPRINGFIELD
State IL
Zip Code 62703-5596

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326296856 Gateway Foundation, Inc. Clinic/Center 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2008-09-09
1841816741 Stephanie Forgas Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2020-06-17
1285272591 Gateway Professional Services, PC Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2019-12-17
1063988491 Gina Howard Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2018-10-24
1255807871 Jennie Mccormick Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2018-10-22
1518456607 Thomas J Beck Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2018-05-04
1841788932 Joshua M Becker Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2018-04-25
1093203093 Denise L Skinner Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2018-04-25
1699130856 Gateway Foundation Inc. Substance Abuse Rehabilitation Facility 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2015-12-15
1518346568 Clayton Gerald Parks Internal Medicine 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2015-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790260917 Jessica Lynne Zeeck Behavior Technician 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 2018-10-03
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
1144712100 Fresenius Medical Care Springfield East, LLC Clinic/Center 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 2018-06-05
1558889170 Ji Woung Choi Dentist 687 E Linton Ave., Springfield, IL 62703 2017-09-04
1477006161 Encompass Home Health of The Midwest,llc Home Health 2970 Baker Dr, Springfield, IL 62703 2016-07-28
1851706824 Terah Louise Holland Obstetrics & Gynecology 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 2014-06-27
1578993101 Corey Moore Behavioral Analyst 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 2013-11-18
1134463052 The Center for Youth and Family Solutions Inc. Voluntary or Charitable 614 North Sixth Street, Springfield, IL 62703 2012-11-15
1447519111 Tenshi Furumi Specialist/Technologist One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 2012-05-15
1447558390 Shalini Mulkanoor Family Medicine 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 2011-03-02
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578161964 Joyful Living Behavioral Health Inc Counselor 107 W Q St, Springfield, OR 97477-2171 2020-10-16
1366055352 Joshua Dauner Counselor 819 N Boonville Ave, Springfield, MO 65802-3831 2020-08-28
1972114411 Doris Osiimwe Johnson Counselor 52 Elaine Cir # 52, Springfield, MA 01109-1205 2020-08-10
1003426610 Jy Counseling LLC Counselor 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 2020-08-07
1912526674 Amy Christine Russell Counselor 317 30th St Apt 304d, Springfield, OR 97478-7619 2020-04-13
1588299184 Julie Patricia Slover Counselor 3331 S Parkview Ave, Springfield, MO 65804-4755 2020-03-04
1356986319 Three Dirty Birds LLC Counselor 805 Lorraine Dr, Springfield, PA 19064-1004 2019-11-14
1992348916 Tiffany Looney Counselor 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 2019-10-22
1588206346 Carrie Stormzand Counselor 4546 S Quail Creek Ave, Springfield, MO 65810-1678 2019-10-14
1366084295 Betty Jean Counselor 673 Morris Ave, Springfield, NJ 07081-1512 2019-10-11
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Competitor

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City SPRINGFIELD
Zip Code 62703

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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