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JILL RENAE BOMSTAD LCPC
NPI 1497385785
Counselor - Professional in Springfield, IL

Active since January 25, 2020
5850 6TH STREET FRONTAGE RD E STE A, SPRINGFIELD, IL 62703(217) 529-5046 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2023, Jan 25, 2020 (2 updates tracked since 2020).

About Jill Renae Bomstad Lcpc NPPES

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

JILL RENAE BOMSTAD LCPC (NPI 1497385785) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180011696) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1497385785
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL RENAE BOMSTADCredential: LCPC
Location Address5850 6TH STREET FRONTAGE RD E STE ASpringfield, IL 62703-5194
Mailing Address2516 W Harbauer LnSpringfield, IL 62702-3449 · (217) 816-3048
Phone(217) 529-5046
Sole ProprietorYes
Enumeration DateJanuary 25, 2020
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1497385785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180011696
5850 6TH STREET FRONTAGE RD E STE A, Springfield, IL 62703
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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.

MORGAN GREENE LMSW
Social Worker
5850 6TH STREET FRONTAGE RD E STE A
SPRINGFIELD, IL 62703
Sangamon County (251) 214-4644
CORTNEY WHITE FOX PHARMD
Pharmacist
5850 6TH STREET FRONTAGE RD E STE A
SPRINGFIELD, IL 62703
Sangamon County (217) 529-5046
TEELA D WHYTE LCSW
Social Worker (Clinical)
5850 6TH STREET FRONTAGE RD E STE A
SPRINGFIELD, IL 62703
Sangamon County (217) 529-5046
LORI BROOKS
Nurse Practitioner (Primary Care)
5850 6TH STREET FRONTAGE RD E STE A
SPRINGFIELD, IL 62703
Sangamon County (217) 529-5046

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 Jill Bomstad's NPI number?

The NPI number for Jill Bomstad is 1497385785. It was assigned to this individual provider in the NPPES registry on January 25, 2020.

Where is Jill Bomstad located?

Jill Bomstad practices at 5850 6th Street Frontage Rd E Ste A, Springfield, IL 62703. The listed phone number is (217) 529-5046.

What is Jill Bomstad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jill Bomstad was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.