ANTHONY HOWARD BOOTH MA, LADC
NPI 1669173027
Counselor - Addiction (Substance Use Disorder) in Brainerd, MN

Q: What is Anthony Booth's NPI number?

The NPI number for Anthony Booth is 1669173027. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Q: What is Anthony Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Booth was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 13, 2023

1822 OAK ST, BRAINERD, MN 56401(612) 505-0768 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Mar 13, 2023 (2 updates tracked since 2023).

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About Anthony Howard Booth Ma, Ladc NPPES

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

ANTHONY HOWARD BOOTH MA, LADC (NPI 1669173027) is an individual addiction (substance use disorder) provider in Brainerd, Minnesota, licensed in Minnesota (305975) and active in the NPI registry since March 2023. He maintains a secondary practice location in Brainerd.

NPPES Registry Identity

NPI1669173027

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameANTHONY HOWARD BOOTHCredential: MA, LADC

Location Address1822 OAK STBrainerd, MN 56401-3857

Mailing Address411 Front StBrainerd, MN 56401-3516 · (612) 505-0768

Phone(612) 505-0768

Sole ProprietorYes

Enumeration DateMarch 13, 2023

Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1669173027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 305975

1822 OAK ST, Brainerd, MN 56401

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Secondary Practice Location 1

Location 1411 Front StBrainerd, MN 56401-3516 · Phone (612) 505-0768

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 Anthony Booth's NPI number?

The NPI number for Anthony Booth is 1669173027. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Anthony Booth located?

Anthony Booth practices at 1822 Oak St, Brainerd, MN 56401. The listed phone number is (612) 505-0768.

What is Anthony Booth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Anthony Booth was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.