MR. ROBERT JOHN BOOTH
NPI 1831768258
Counselor - Mental Health in Appleton, WI
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Robert Booth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
- 133 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54913
APPLETON, WI 54913
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.
Which organization bills Medicare for Robert Booth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Booth reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI). 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 Robert Booth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Booth accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan 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.
# Mr. Robert John Booth · NPI 1831768258
Mental Health provider in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since June 21, 2021.
## Identity
- **NPI:** 1831768258 (Entity type: Individual)
- **Enumerated:** June 21, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 E ENTERPRISE AVE STE B, Appleton, WI 54913-8556
- **Phone:** (920) 416-8577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nystrom & Associates Counseling Wi., S.C. (NPI 1659977866, La Crosse, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 14, 2023
- **Other identifiers:** Medicaid 42251300 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1831768258) · Data from the CMS NPPES public registry.