Averie Jacqueline Booth

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC009921 Issued in GA

Practice address

205 Ayers Cir
Summerville, SC 29485-3303

Phone

(843) 460-2605

NPI assigned

Jan 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Building Independence Together

  • Behavior Analyst
  • Walterboro, SC
  • NPI 1568906394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1003627290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 OHEAR AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055099",
            "fax_number": "888-298-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AYERS CIR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294853303",
            "telephone_number": "843-460-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "AVERIE",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "1543540",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Secours St. Francis Xavier Hosptial, Inc. (Lowcountry Hematology and Oncology A Department of BSSFH)
• Amanda Bone, RPH
• Ayres Bonneau, LDO
• Alma Boone, NP-C
• Kimberly Breda Boone, PHARMD
• Jack H Booth, PSY.D, LPC
• Alexander Michael Bores, DPT
• Lynn Bornfriend, MD
• Lesley Ann Bosse, FNP-C
• Haley Tess Bouchard, PA-C

• Mental Health Counselor in Summerville, SC
• Providers in Summerville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.