JUSTIN BOZARTH (NPI# 1730651076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730651076 |
Entity Type | Individual |
Full Name | JUSTIN BOZARTH |
Credential | CRSS |
Practice Address |
8324 Skokie Blvd Skokie IL 60077-2545 |
Practice Telephone | 8479330051 |
Practice Fax Number | 8479330057 |
Mailing Telephone | 8479330051 |
Mailing Fax Number | 8479330057 |
Enumeration Date | 2018-12-27 |
Last Update Date | 2018-12-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
8324 SKOKIE BLVD |
City | SKOKIE |
State | IL |
Zip Code | 60077-2545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780664029 | Norwil C Frial-lopez | Psychologist | 8324 Skokie Blvd, Skokie, IL 60077 | 2006-01-20 |
1619592458 | Sophia Irene Starks | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-06-08 |
1528697802 | Johanna Fierke | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-04-07 |
1376179598 | Thalia Saldivar | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-03-19 |
1225661606 | William Brady | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-02-13 |
1073159802 | Erica Danielle Brown | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-27 |
1083259964 | Hali Garber | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-14 |
1295370443 | Sara Bradley | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-12 |
1508401860 | Gloria Feliciano Feltman | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-11 |
1255976528 | Ramie Bou-saab | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
Find all providers in zip 60077 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689950370 | Michal-ann Somerman | Case Manager/Care Coordinator | 9833 Woods Dr, Skokie, IL 60077-1104 | 2011-10-26 |
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1467084897 | Lisa S Johnson | Case Manager/Care Coordinator | 510 Exeter Pl, Lake Forest, IL 60045-1521 | 2020-02-04 |
1073158085 | Danny Living | Case Manager/Care Coordinator | 1050 Freemont St, Yorkville, IL 60560-2074 | 2019-11-13 |
1235772864 | Rebekah Johnson | Case Manager/Care Coordinator | 208 E 87th St, Chicago, IL 60619-6040 | 2019-10-27 |
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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.