Samantha Rae Boone

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001796 Issued in IL

Practice address

1000 Jorie Blvd
Oak Brook, IL 60523-2214

Phone

(630) 560-1100

NPI assigned

Sep 19, 2021

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Center for Hope & Healing

  • Professional Counselor
  • Oak Brook, IL
  • NPI 1538550538
  NPD (past)

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1720758972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 BLUFF ST APT 202",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601883407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232214",
            "telephone_number": "630-560-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerstin Blumhardt, MSW
• Samina Bokhari, M.D.
• Dalton Jared Boland, DPT
• Kyle Bonesteel, PHD
• Anthony Bono
• Christina Borghese
• Sharon Boris, M.S.W.
• Megan M Bradberry, DPT
• Breath of Life Professional Services, NFP, Inc.
• Amy Brink

• Marriage & Family Therapist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.