Pure Balance Psychotherapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PURE BALANCE PSYCHOTHERAPY PLLC

Practice address

324 S Racine Ave # 2NF
Chicago, IL 60607-2848

Phone

(630) 418-6404

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie Oldham, MA, LCPCNPI 1568000602

Title

Manager

Phone

(630) 418-6404

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Oldham, MA LCPC

  • Professional Counselor
  • Schaumburg, IL
  • NPI 1568000602
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1073378444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S RACINE AVE # 2NF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072848",
            "telephone_number": "630-418-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S RACINE AVE # 2NF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072848",
            "telephone_number": "630-418-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-418-6404",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Purakal, M.D., M.S.
• Caitlin Purcell
• Michael J Purcell, PSYD
• Sierra Purcell, PA
• Ticonna D Purdle, N.P.
• Pure Bodyworks
• Pure Health Center, Inc
• Pure Hearts Home Health Services Inc.
• Pure Light Healthcare LLC
• Pure Med Therapy

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.