Erin Booker, MS, LPC
Individual provider Active NPI Professional Counselor · Sullivan, IL
NPI 1083069181 · NPPES record last updated Apr 27, 2016
Key facts
- NPI
- 1083069181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.011985 (IL)
- Practice address
- 120 E Kennedy St
Sullivan, IL 61951-1646 - Phone
- (217) 259-9680
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 2, 2024 through Jul 2, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011985 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Booker Counseling Services PLLC | Professional | Current |
Accepting new patients |
Locations
520 W Palmer St
Arthur, IL 61911
Phone (217) 259-9680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011985 | IL | Yes |
Addresses
Primary practice location
120 E Kennedy St
Sullivan, IL 61951-1646
Mailing address
120 E Kennedy St
Sullivan, IL 61951-1646
Phone (217) 259-9680
Other providers in Sullivan, IL
- Janice Althoff
- Ap Therapeutic Practice LLC
- Penny Arlene Arthur
- Hollie Atchison
- Thomas C. Best
- Boyd Optometric Inc
- Craig M Bretz
- Charleigh Brown
- Valerie Brumfield
- Brett Bryden
All providers in Sullivan, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.