MELLISA LAU BOOTH
NPI 1154851038
Counselor - Mental Health in Lake Charles, LA
About Mellisa Lau Booth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELLISA LAU BOOTH (NPI 1154851038) is an individual mental health provider in Lake Charles, Louisiana, licensed in Louisiana (6369) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mellisa Lau Booth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mellisa Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE CHARLES, LA 70601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mellisa Booth's NPI number?
The NPI number for Mellisa Booth is 1154851038. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is Mellisa Booth located?
Mellisa Booth practices at 2829 4th Ave, Lake Charles, LA 70601. The listed phone number is (337) 477-7091.
What is Mellisa Booth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mellisa Booth enrolled in Medicare?
Yes. Mellisa Booth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mellisa Booth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mellisa Booth reassigns Medicare benefits to Mmg Archer Institute, LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mellisa Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mellisa Booth accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Mellisa Booth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mellisa Booth was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mellisa Lau Booth · NPI 1154851038
Mental Health provider in Lake Charles, Louisiana. Individual provider, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1154851038 (Entity type: Individual)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6369 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2829 4TH AVE, Lake Charles, LA 70601-7887
- **Phone:** (337) 477-7091 · **Fax:** (337) 474-4552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mmg Archer Institute, LLC (NPI 1952897688, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 1063569648; Medicaid 1551228 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1154851038) · Data from the CMS NPPES public registry.