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MR. ROBERT JOHN BOOTH
NPI 1831768258
Counselor - Mental Health in Appleton, WI

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913(920) 416-8577 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Sep 12, 2022, Jun 21, 2021 (3 updates tracked since 2021).

About Mr. Robert John Booth NPPES

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

MR. ROBERT JOHN BOOTH (NPI 1831768258) is an individual mental health provider in Appleton, Wisconsin and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831768258
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ROBERT JOHN BOOTH
Location Address2500 E ENTERPRISE AVE STE BAppleton, WI 54913-8556
Mailing Address1809 Hickory LnOshkosh, WI 54901-2510 · (877) 300-9101
Phone(920) 416-8577
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1831768258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2500 E ENTERPRISE AVE STE B, Appleton, WI 54913
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Other Identifiers 1

Medicaid42251300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert John Booth is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608226238
PECOS Enrollment IDI20231222001843
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANNE D WESLE LPC
Counselor (Professional)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
SARAH JEAN MOTACEK LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
ELIJAH L FREEMAN MS, LPC
Counselor (Professional)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
HEATHER MICHELE DUZYNSKI APNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
GABRIELLE CASSANDRA JOCHMAN LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
PAUL J KLUZ LPC
Counselor (Professional)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
BRYNN A SYTSMA PSY.D.
Psychologist (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
EMILY L SCHULTZ LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577

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 Robert Booth's NPI number?

The NPI number for Robert Booth is 1831768258. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Robert Booth located?

Robert Booth practices at 2500 E Enterprise Ave Ste B, Appleton, WI 54913. The listed phone number is (920) 416-8577.

What is Robert Booth's specialty?

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

Is Robert Booth enrolled in Medicare?

Yes. Robert Booth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Booth accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan and 1 other insurer list Robert 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 Robert Booth was last updated on April 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.