Melissa Ann Booth

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

DODD4101475 Issued in OH

Practice address

326 Patton Ave
Wintersville, OH 43953-3848

Phone

(740) 317-7734

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Melissa Chesney Former name

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.

• Livewell Direct Support, LLC

  • Developmentally Disabled Services Day Training Agency
  • Wintersville, OH
  • NPI 1972107043

  Community/Behavioral Health

  NPD Authorized official

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1316541402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PATTON AVE",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533848",
            "telephone_number": "740-317-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PATTON AVE",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533848",
            "telephone_number": "740-317-7734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Bantam Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wintersville",
            "state": "OH",
            "postal_code": "439534013",
            "country_code": "US",
            "telephone_number": "740-317-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "RT055489",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "4101475",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "OH",
            "license": "DODD4101475",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "DODD4101475",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "DODD4101475",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "DODD4101475",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "DODD4101475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CHESNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manuel W Ballas, DO
• Ranjan Prakash Bhandari, MD
• Lindsay Blake, PMHNP
• Cameron Lamont Bonds
• Jodi Lynn Bonomo, COTA
• David Bowden II, D.C.
• Kenneth Lee Bradley Jr.
• Amber A Brooks, HIS
• Jennifer Nicole Brown, DPT
• Thomas R. Brown, D.D.S., F.A.G.D.

• Community/Behavioral Health Agency in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.