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Jill Renae Bomstad , LCPC

Counselor - Professional β€’ Springfield, IL

Active NPI 1497385785 Individual Practitioner Female Practitioner
Practice location in NPPES

5850 6th Street Frontage Rd E Ste A
Springfield, IL 627035194

Call 2175295046 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5850 6th Street Frontage Rd E Ste A

Springfield, IL 627035194

Telephone 2175295046

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Illinois

186 active clinicians are listed under Counselor - Professional with a practice address in Springfield, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.8% of these 186 clinicians have the CMS telehealth indicator.

15.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180011696
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Michelle Wernert-Dodd , APN

Nurse Practitioner - Family

NPI 1801308911

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 06, 2023

Registered at 5850 6TH STREET FRONTAGE RD E STE A, SPRINGFIELD, IL 627035194 (Tel: 2175295046)

βœ…
NPI Profile Active January 25, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 25, 2020

Registered at 3000 LENHART RD, SPRINGFIELD, IL 627119203 (Tel: 2176987150)

πŸ“
Business Mailing Address (Initial Record) January 25, 2020

Registered at 2516 W HARBAUER LN, SPRINGFIELD, IL 627023449 (Tel: 2178163048)

πŸ‘€
Provider Name / Credentials (Initial Record) January 25, 2020

Recorded as JILL BOMSTAD, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2020

Counselor (license number reported to NPPES: IL 180011696)

🟒
Initial NPI Registration & Enumeration January 25, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497385785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2020
Last Update: October 06, 2023
Sole Proprietor: Yes

Mailing Address

2516 W Harbauer Ln

Springfield, IL 627023449

Phone: 2178163048

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.