CAROLYN ELIZABETH BOOHER APC
NPI 1497396097
Counselor - Mental Health in Dunwoody, GA

Active since October 04, 2019Opted out of Medicare · through May 30, 2028
1360 CENTER DR STE 200, DUNWOODY, GA 30338(678) 825-2320 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Oct 4, 2019 (2 updates tracked since 2019).

About Carolyn Elizabeth Booher Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ELIZABETH BOOHER APC (NPI 1497396097) is an individual mental health provider in Dunwoody, Georgia, licensed in Georgia (APC007094) and active in the NPI registry since October 2019. She has opted out of Medicare through May 30, 2028.

NPPES Registry Identity

NPI1497396097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN ELIZABETH BOOHERCredential: APC
Location Address1360 CENTER DR STE 200Dunwoody, GA 30338-4135
Mailing Address1640 Powers Ferry Rd Se Ste 100Marietta, GA 30067-5491 · (317) 362-2533
Sole ProprietorNo
Enumeration DateOctober 4, 2019
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1497396097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · APC007094
1360 CENTER DR STE 200, Dunwoody, GA 30338

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Carolyn Elizabeth Booher Apc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2024 through May 30, 2028.

Opt-Out Effective DateMay 30, 2024
Opt-Out In Effect ThroughMay 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Community/Behavioral Health
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Psychologist
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Social Worker (Clinical)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Community/Behavioral Health
1360 CENTER DR STE 200
DUNWOODY, GA 30338

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 Carolyn Booher's NPI number?

The NPI number for Carolyn Booher is 1497396097. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Where is Carolyn Booher located?

Carolyn Booher practices at 1360 Center Dr Ste 200, Dunwoody, GA 30338. The listed phone number is (678) 825-2320.

What is Carolyn Booher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carolyn Booher enrolled in Medicare?

No. Carolyn Booher has opted out of Medicare through May 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Booher was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.