Individual provider Active NPI

James E. Booth, MS, NCC, LPC

  • Professional Counselor
  • Mascoutah, IL
National Provider Identifier
1285381277
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178016245 Issued in IL
Practice address
219 E Main St
Mascoutah, IL 62258-2136
Phone
(618) 792-0613
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178016245 IL Primary

Addresses

Primary practice location

219 E Main St
Mascoutah, IL 62258-2136

Mailing address

219 E Main St
Mascoutah, IL 62258-2136
Phone (618) 792-0613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105000613 IL Practitioner - Mental Health Counselor 4880127471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 E Main St
Mascoutah, IL 62258-2136
Phone (618) 448-0230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178016245ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Right Time Counseling, PLLC Professional CurrentSince Sep 24, 2024 Accepting new patients

Locations

219 E Main St
Mascoutah, IL 62258
Phone (618) 448-0230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1285381277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582136",
            "telephone_number": "618-792-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582136",
            "telephone_number": "618-792-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

Verify at the official NPI Registry.