Boothcounsel, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

18202 Issued in TX

Legal business name

BOOTHCOUNSEL, PLLC

Practice address

15150 Preston Rd Ste 300
Dallas, TX 75248-4871

Phone

(972) 980-3919

Fax

(972) 980-3921

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Booth, L.P.C.

Title

Proprietor

Phone

(972) 980-3919

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053530501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 PRESTON RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484871",
            "telephone_number": "972-980-3919",
            "fax_number": "972-980-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHCOUNSEL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "972-980-3919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "18202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PPO",
            "identifier": "0008KM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "83746L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weiwei Boone, MD
• Madeline Booth
• Peaches Landry Booth, APRN
• Scott Booth
• Timothy N Booth, MD
• Ashley Boothe, FNP-C
• Steve Theodore Boozalis, M.D.
• Suneetha Boppana, D.D.S
• Girish Boraiah
• Sara Tomaso Boraks, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.