Individual provider Active NPI

Christine Ruth Holihan-Boothe, LSW

  • Mental Health Counselor
  • Collingswood, NJ
National Provider Identifier
1144998774
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC06074800 Issued in NJ
Practice address
24 Lees Ave Ste 7-10
Collingswood, NJ 08108-2070
Phone
(856) 834-3709
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC06074800 NJ Primary

Addresses

Primary practice location

24 Lees Ave Ste 7-10
Collingswood, NJ 08108-2070

Mailing address

24 Lees Ave
Collingswood, NJ 08108-2070
Phone (415) 609-6357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06074800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Soul Wellness Center LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

24 Lees Ave
Collingswood, NJ 08108
Phone (856) 240-0868

24 Lees Ave
Ste 710
Collingswood, NJ 08108
Phone (856) 240-0868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1144998774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEES AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082070",
            "telephone_number": "415-609-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEES AVE STE 7-10",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082070",
            "telephone_number": "856-834-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIHAN-BOOTHE",
        "first_name": "CHRISTINE",
        "middle_name": "RUTH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC06074800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.