Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SPACE BOOTS
NPI 1861303679
Counselor - Mental Health in Carol Stream, IL

Active since September 14, 2026
483 MINNESOTA CIR, CAROL STREAM, IL 60188(872) 279-0362 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Space Boots NPPES

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

SPACE BOOTS (NPI 1861303679), doing business as Lifestream Counseling Center, is a healthcare organization registered as a mental health in Carol Stream, Illinois and active in the NPI registry since September 2026. The organization lists Robert Golda, Founder, as its authorized official.

NPPES Registry Identity

NPI1861303679
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSPACE BOOTS
Location Address483 MINNESOTA CIRCarol Stream, IL 60188-9217
Mailing Address483 Minnesota CirCarol Stream, IL 60188-9217 · (872) 279-0362
Organization SubpartNo
Authorized OfficialRobert GoldaFounder · (872) 279-0362
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 13, 2026
✔ NPI 1861303679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
483 MINNESOTA CIR, Carol Stream, IL 60188

Other Names 1

Doing Business AsLifestream Counseling Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Space Boots's NPI number?

The NPI number for Space Boots is 1861303679. It was assigned to this organization in the NPPES registry on September 14, 2026. The provider is doing business as Lifestream Counseling Center.

Where is Space Boots located?

Space Boots is located at 483 Minnesota Cir, Carol Stream, IL 60188. The listed phone number is (872) 279-0362.

What is Space Boots'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 Space Boots was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.