Provider Demographics
NPI:1962858092
Name:HOUPT, KATHARINE JOY (MAAT, ATR-BC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:JOY
Last Name:HOUPT
Suffix:
Gender:F
Credentials:MAAT, ATR-BC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S CLARK ST APT 519
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3684
Mailing Address - Country:US
Mailing Address - Phone:872-216-0658
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1360
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3788
Practice Address - Country:US
Practice Address - Phone:872-216-0658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-07
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009452101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional