Amy Botta

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

15 W Harris Ave Ste 17
La Grange, IL 60525-2368

Phone

(779) 429-6513

NPI assigned

Aug 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1336024975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W HARRIS AVE STE 17",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252368",
            "telephone_number": "779-429-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W HARRIS AVE STE 17",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252368",
            "telephone_number": "779-429-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTA",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Boburka, PA-C
• Jerry P Bonet, D.P.M.
• Tracy Bongiorno, P.A.-C
• Christine O'Connor Bonhomme, M.D.
• Kathryn Marie Bonnstetter
• Haley Wynne Brancheau, M.S., CCC-SLP
• Kristin Breems, LCSW
• Emily Claire Brennan
• Jennifer Brennan
• Brionna Breznai, MOT, OTR/L

• Mental Health Counselor in La Grange, IL
• Providers in La Grange, 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 Apr 1, 2026; 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.