Booth Counseling Services, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058862 Issued in MI

Legal business name

BOOTH COUNSELING SERVICES, P.C.

Practice address

200 E Big Beaver Rd
Suite 113
Troy, MI 48083-1208

Phone

(248) 321-3396

NPI assigned

Apr 20, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elaine Booth, LMSWNPI 1780778803

Title

President

Phone

(248) 321-3396

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elaine Booth, LMSW

  • Clinical Social Worker
  • Troy, MI
  • NPI 1780778803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1205270212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HICKORY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831625",
            "telephone_number": "248-321-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BIG BEAVER RD",
            "address_2": "SUITE 113",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831208",
            "telephone_number": "248-321-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-321-3396",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12475344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Bondalapati, MA, LPC, CAADC
• Cortney Bonello, FNP-BC
• John D Bonema, MD
• Leah Bonilla, PHD, LLP
• Jeremy Bonka
• Elaine Booth, LMSW
• Erica Boreczky
• Bormans Inc (Farmer Jack Pharmacy)
• Bormans Inc (Farmer Jack Pharmacy)
• Bormans Inc (Food Emporium Pharmacy)

• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.