Karen Booth, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85955 Issued in CA

Practice address

11845 W Olympic Blvd Ste 1080
Los Angeles, CA 90064-5023

Phone

(323) 686-8401

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1699942243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1080",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645023",
            "telephone_number": "323-686-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 W OLYMPIC BLVD STE 1080",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645023",
            "telephone_number": "323-686-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10883 Palms Blvd",
            "address_2": "#9",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900345543",
            "country_code": "US",
            "telephone_number": "805-698-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "KAREN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "85955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erie V Boorman III, MD
• Michelle Boostanfar, PHARM D
• Amber Booth
• Daniel Jordan Booth, MA
• Jennifer Ashley Tomer Booth, LCSW
• Alexis Boothby, LCSW
• David Thomas Boothe, MD
• Sunita Kaur Boparai, AGACNP-BC
• Sushma Boppana, MD
• Eddie Boquilla

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.