Burtaine Counseling, LTD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BURTAINE COUNSELING, LTD

Practice address

939 W North Ave Ste 750
Chicago, IL 60642-7142

Phone

(773) 299-8540

NPI assigned

Jan 24, 2021

Organization subpart

No

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

Authorized official

Name

Kristin Burtaine, M.A., LCOCNPI 1538477765

Title

President, LCPC

Phone

(616) 633-0476

Specialties & licenses 1

Addresses

Other names 2

• Breakthru Therapy Chicago Doing business as
• Burtaine Counseling, Inc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Lee Burtaine, MA, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1538477765

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1114517075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573019",
            "telephone_number": "616-633-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427142",
            "telephone_number": "773-299-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTAINE COUNSELING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "BURTAINE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT, LCPC",
        "authorized_official_telephone_number": "616-633-0476",
        "authorized_official_credential": "M.A., LCOC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakthru Therapy Chicago",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burtaine Counseling, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Bursuck
• Cassaundra Burt, MD
• Charles R Burt, LCPC
• Leah Susanne Burt, A.P.N.
• Noel Marissa Burt, PT, DPT
• Kristin Lee Burtaine, MA, LCPC
• Burton Homes Community Outreach NFP
• Antwonette Burton, APRN, FNP-C
• Barbara Kay Burton, MD
• Dekoiya Montreal Burton, MD

• All providers in Chicago, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.