Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497385785 Individual Practitioner Female Practitioner

Jill Renae Bomstad , LCPC

Counselor - Professional • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Jill Bomstad, LCPC is a registered healthcare professional specializing in Counselor - Professional in Springfield, IL. Practice services are available at 5850 6TH STREET FRONTAGE RD E STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5850 6th Street Frontage Rd E Ste A

Springfield, IL 627035194

Telephone 2175295046

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% 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

CMS Verified: 2023-10-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180011696

Definition to come...

Practice Associates & Co-Workers

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

10 Associated Practitioners
Rebecca Sanchez , LCSW

Social Worker - Clinical

NPI 1184391385

Licensed Clinical Social Worker

Kelly Larosa , LCSW

Social Worker - Clinical

NPI 1255303830

Licensed Clinical Social Worker

Teela Whyte , LCSW

Social Worker - Clinical

NPI 1326760653

Licensed Clinical Social Worker

Nikki Suits , LCSW

Social Worker - Clinical

NPI 1376116566

Licensed Clinical Social Worker

Crystal Dillow , LCSW

Social Worker - Clinical

NPI 1447872478

Licensed Clinical Social Worker

Dr. Basanti Mukerji , MD

Internal Medicine - Rheumatology

NPI 1497725345

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 06, 2023

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

NPI Profile Active January 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2020

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

📍
Updated Business Mailing Address January 25, 2020

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

👤
Provider Name / Credentials Updated January 25, 2020

Recorded as JILL BOMSTAD, LCPC

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

Counselor (License #180011696 in IL)

🟢
Initial NPI Registration & Enumeration January 25, 2020

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: 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

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.