Emily Anne Boothe, MA, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180014648 Issued in IL

Practice address

2948 Artesian Rd
Naperville, IL 60564-8558

Phone

(888) 428-7890

Fax

(877) 428-7891

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.emilyhollingsworth@146897.advancedmd-direct.com

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1558911255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 ARTESIAN RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648558",
            "telephone_number": "888-428-7890",
            "fax_number": "877-428-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 ARTESIAN RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648558",
            "telephone_number": "888-428-7890",
            "fax_number": "877-428-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Bolyanatz, RN, MSN, APRN, BC
• Vidya Bommi, LCSW
• Michael Edward Bond, D.D.S.
• Dana Bonnecarre
• Eden Bonsonto, MSW,LCSW
• Timothy D. Boots, O.D.
• Lisa Marie Borgealt, D.C., APN
• Pamela Ann Borgeson, M.A.
• David A. Bork, D.D.S.
• Joyce Marilyn Borozan, PHARMD

• Mental Health Counselor in Naperville, IL
• Providers in Naperville, 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 Aug 7, 2023; 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.