Organization Active NPI

Abby Bottorff Counseling

  • Counselor
  • Park Forest, IL
National Provider Identifier
1124820469
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ABBY BOTTORFF COUNSELING
Practice address
123 Indianwood Blvd Unit 791
Park Forest, IL 60466-4479
Phone
(563) 293-1402
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Abigail Bottorff, LMHC, LCPC, NCCNPI 1942948237
Title
Mental Health Counselor
Phone
(217) 622-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

123 Indianwood Blvd Unit 791
Park Forest, IL 60466-4479

Mailing address

144 Westwood Dr
Park Forest, IL 60466-1344
Phone (217) 622-2324

Other practice location 1

880 Locust St
Dubuque, IA 52001-6700
Phone (563) 293-1402

Other names 1

  • New Moon Counseling Alliance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abby Bottorff Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

880 Locust St
Dubuque, IA 52001
Phone (563) 293-1402

123 Indianwood Blvd
Unit 791
Park Forest, IL 60466
Phone (563) 293-1402

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1124820469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WESTWOOD DR",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661344",
            "telephone_number": "217-622-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 INDIANWOOD BLVD UNIT 791",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604664479",
            "telephone_number": "563-293-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Locust St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520016700",
            "country_code": "US",
            "telephone_number": "563-293-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABBY BOTTORFF COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BOTTORFF",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "217-622-2324",
        "authorized_official_credential": "LMHC, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Moon Counseling Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.