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TRAVIS ANDREW BOOTH MA, LCPC
NPI 1730423393
Counselor - Professional in Evanston, IL

Active since November 20, 2012
1007 CHURCH ST, SUITE 302, EVANSTON, IL 60201(847) 492-1938(847) 423-5670 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis Andrew Booth Ma, Lcpc NPPES

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

TRAVIS ANDREW BOOTH MA, LCPC (NPI 1730423393) is an individual professional provider in Evanston, Illinois, licensed in Illinois (180.009981) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1730423393
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTRAVIS ANDREW BOOTHCredential: MA, LCPC
Location Address1007 CHURCH ST, SUITE 302Evanston, IL 60201-3624
Mailing Address1007 Church St, Suite 302Evanston, IL 60201-3624 · (847) 492-1938 · Fax (847) 423-5670
Phone(847) 492-1938
Fax(847) 423-5670
Sole ProprietorYes
Enumeration DateNovember 20, 2012
Last NPPES UpdateMarch 7, 2016
✔ NPI 1730423393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.009981✔ Licensed in IL · 178.008592
1007 CHURCH ST, Evanston, IL 60201
Open in Google Maps ↗

Other Identifiers 1

OtherPHCP058737IL · Philadelphia Indemnity Insurance Company

Other Providers at the Same Location NPPES 12

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

SELF DESIGN, INC
Social Worker (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (773) 818-6800
MR. ALAN WERTHEIMER LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 848-0474
SAIRA SHERVANI MD
Internal Medicine
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 475-4555
ERICA ESTES WATSON M.A., LPC
Counselor (Professional)
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938
JUDY ORBACH LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (312) 296-4562
KYLIE MARIE KOTAK LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 440-5760
JENNIFER ANN RUZUMNA PH.D.
Psychologist (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (312) 307-9677
FARRAH WALKER
Marriage & Family Therapist
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938

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 Travis Booth's NPI number?

The NPI number for Travis Booth is 1730423393. It was assigned to this individual provider in the NPPES registry on November 20, 2012.

Where is Travis Booth located?

Travis Booth practices at 1007 Church St Suite 302, Evanston, IL 60201. The listed phone number is (847) 492-1938.

What is Travis Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Travis Booth was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.