Individual provider Active NPI

Katherine Elizabeth Booras, NCC, LCPC, MA, BS

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1851087175
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016456 Issued in IL
Practice address
872 S Milwaukee Ave # 182
Libertyville, IL 60048-3227
Phone
(847) 373-0941
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016456 IL Primary

Addresses

Primary practice location

872 S Milwaukee Ave # 182
Libertyville, IL 60048-3227

Mailing address

872 S Milwaukee Ave # 182
Libertyville, IL 60048-3227
Phone (224) 378-4240

Other practice location 1

115 E State Rd
Island Lake, IL 60042-9645
Phone (847) 865-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002636 IL Practitioner - Mental Health Counselor 6002346178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
180.016456ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Counseling, LLC Professional CurrentSince Jan 1, 2025 Accepting new patients

Locations

115 E State Rd
Ste 1A
Island Lake, IL 60042

115 E State Rd
Island Lake, IL 60042
Phone (630) 222-0618

872 S Milwaukee Ave
Libertyville, IL 60048
Phone (224) 378-4240

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1851087175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE # 182",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "224-378-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE # 182",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "847-373-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E State Rd",
            "address_purpose": "LOCATION",
            "city": "Island Lake",
            "state": "IL",
            "postal_code": "600429645",
            "country_code": "US",
            "telephone_number": "847-865-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOORAS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NCC, LCPC, MA, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.