1. Home
  2. Directory
  3. Illinois
  4. Loves Park
  5. Social Worker
  6. NPI Profile

MR. WILLIAM TIVA BOUNTHONG LCSW
NPI 1144091505
Social Worker - Clinical in Loves Park, IL

Active since January 12, 2024PECOS Enrolled
7399 FOREST HILLS RD, LOVES PARK, IL 61111(815) 708-7392(815) 708-8248 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. William Tiva Bounthong Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM TIVA BOUNTHONG LCSW (NPI 1144091505) is an individual clinical provider in Loves Park, Illinois, licensed in Illinois (149025844) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144091505
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILLIAM TIVA BOUNTHONGCredential: LCSW
Location Address7399 FOREST HILLS RDLoves Park, IL 61111-3974
Mailing Address7399 Forest Hills RdLoves Park, IL 61111-3974 · (815) 708-7392 · Fax (815) 708-8248
Phone(815) 708-7392
Fax(815) 708-8248
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1144091505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149025844
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 149025844 (IL)
7399 FOREST HILLS RD, Loves Park, IL 61111
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Tiva Bounthong Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESTORE COUNSELING & RECOVERY, INC.
Social Worker (Clinical)
7399 FOREST HILLS RD
LOVES PARK, IL 61111
Winnebago County (815) 708-7392
MRS. CARLI SUSAN RECKER LSW
Social Worker (Clinical)
7399 FOREST HILLS RD
LOVES PARK, IL 61111
Winnebago County (815) 708-7392
MONICA K BENTON LCPC
Counselor (Professional)
7399 FOREST HILLS RD
LOVES PARK, IL 61111
Winnebago County (815) 708-7392
ACCESS SERVICES OF NORTHERN ILLINOIS
Case Management
7399 FOREST HILLS RD
LOVES PARK, IL 61111
Winnebago County (815) 282-8824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Bounthong's NPI number?

The NPI number for William Bounthong is 1144091505. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is William Bounthong located?

William Bounthong practices at 7399 Forest Hills Rd, Loves Park, IL 61111. The listed phone number is (815) 708-7392.

What is William Bounthong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is William Bounthong enrolled in Medicare?

Yes. William Bounthong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Bounthong was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.