KATHLEEN GRACE BOOTH
NPI 1629794847
Counselor - Mental Health in Chicago, IL

Active since October 19, 2022
2755 N PINE GROVE AVE, CHICAGO, IL 60614(312) 259-2665 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Grace Booth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN GRACE BOOTH (NPI 1629794847) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since October 2022. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1629794847
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN GRACE BOOTH
Location Address2755 N PINE GROVE AVEChicago, IL 60614-6109
Mailing Address2555 N Clark St Apt 1903Chicago, IL 60614-1758 · (414) 801-6267
Sole ProprietorNo
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 18, 2022
NPI 1629794847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2755 N PINE GROVE AVE, Chicago, IL 60614

Secondary Practice Location 1

Location 13139 N Lincoln AveChicago, IL 60657-3114 · Phone (312) 259-2665

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Professional)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Booth's NPI number?

The NPI number for Kathleen Booth is 1629794847. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Kathleen Booth located?

Kathleen Booth practices at 2755 N Pine Grove Ave, Chicago, IL 60614. The listed phone number is (312) 259-2665.

What is Kathleen Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kathleen Booth was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.