Katie Oldham, MA LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014112 Issued in IL

Practice address

2010 E Algonquin Rd Ste 207
Schaumburg, IL 60173-4168

Phone

(847) 359-5192

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

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.

• Pure Balance Psychotherapy PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1073378444
  NPD Authorized official

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1568000602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W JACKSON BLVD APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075304",
            "telephone_number": "630-418-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E ALGONQUIN RD STE 207",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734168",
            "telephone_number": "847-359-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "KATIE",
        "credential": "MA LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178015537",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick A Ohara, DMD
• Maribeth C Ohprecio
• Oil Care of Il II, LLC
• Oil Care of Il, LLC
• Samuel A Okoidegun
• Todd Oldham, M.D.
• Sara Olivanti, LCSW
• Peggy Oliveira, MSW, LCSW
• Elizabeth Oliverio, MA, CCC-SLP
• Tolutope Opeyemi Olorunshola

• Professional Counselor in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.