Carolyn Elizabeth Booher, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007094 Issued in GA

Practice address

1360 Center Dr Ste 200
Dunwoody, GA 30338-4135

Phone

(678) 825-2320

NPI assigned

Oct 4, 2019

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 30, 2024 through May 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anxiety Specialists of Atlanta LLC

  • Community/Behavioral Health Agency
  • Dunwoody, GA
  • NPI 1083291512
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1497396097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "317-362-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CENTER DR STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384135",
            "telephone_number": "678-825-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbooher@stressmgt.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "ANXIETY AND STRESS MANAGEMENT INSTITUTE LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email",
            "address_1": "1640 POWERS FERRY RD Building 9",
            "address_2": "Suite 100",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300675491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "booher@anxietyatl.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Anxiety Specialists of Atlanta",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email",
            "address_1": "1360 Center Dr Ste 200",
            "city": "Dunwoody",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Timothy Boozer, MD
• Talia Reines Bornstein
• Sofya Y Borodovsky-Lyalin, CCC-SLP
• Yasmine Boumenir, RDN, CLC
• Tatyana Bovain

• Mental Health Counselor in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.