Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063614600 Individual Practitioner Male Practitioner

Bruce Boeck , LCPC

Counselor - Professional • Normal, IL

Professional Overview & Biography Verified Profile Summary

Bruce Boeck, LCPC is a registered healthcare professional specializing in Counselor - Professional in Normal, IL. Practice services are available at 1100 BEECH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Beech St
#10 Normandy Village

Normal, IL 617611493

Telephone 3094542112
Associated Practice Facility / Clinic
🏢 Amie Smith Counseling Pllc Facility NPI 1114699188

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Normal, IL (9683 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gabriel Telot , MD

Psychiatry & Neurology - Psychiatry

NPI 1316015282

Doctor of Medicine (M.D.)

Dr. Douglas Bey , MD

Psychiatry & Neurology - Psychiatry

NPI 1356416440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 BEECH ST, #10 NORMANDY VILLAGE, NORMAL, IL 617611493 (Tel: 3094542112)

📍
Updated Business Mailing Address July 08, 2007

Registered at 207 SUELYNN DR, NORMAL, IL 617611339 (Tel: 3094541371)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE BOECK, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063614600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

207 Suelynn Dr

Normal, IL 617611339

Phone: 3094541371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.