GRANT BOOTH PA DBA BOOTH THERAPY
NPI 1861915001
Clinic/Center - Mental Health (Including Community Mental Health Center) in Saint Paul, MN

Q: What is Grant Booth PA Dba Booth Therapy's NPI number?

The NPI number for Grant Booth PA Dba Booth Therapy is 1861915001. It was assigned to this organization in the NPPES registry on July 19, 2017.

Q: What is Grant Booth PA Dba Booth Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 19, 2017

1499 LINCOLN AVE, SAINT PAUL, MN 55105(651) 690-1542 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

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About Grant Booth Pa Dba Booth Therapy NPPES

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

GRANT BOOTH PA DBA BOOTH THERAPY (NPI 1861915001) is a healthcare organization registered as a mental health (including community mental health center) in Saint Paul, Minnesota and active in the NPI registry since July 2017. The organization lists Grant Edward Booth, Therapist/clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1861915001

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGRANT BOOTH PA DBA BOOTH THERAPY

Location Address1499 LINCOLN AVESaint Paul, MN 55105-2236

Mailing Address1499 Lincoln AveSaint Paul, MN 55105-2236 · (651) 690-1542

Phone(651) 690-1542

Organization SubpartNo

Authorized OfficialGrant Edward BoothTherapist/clinical Social Worker · (651) 690-1542

Enumeration DateJuly 19, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1861915001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1499 LINCOLN AVE, Saint Paul, MN 55105

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Other Providers at the Same Location NPPES

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

GRANT EDWARD BOOTH MSW, LICSW, ACSW

Social Worker (Clinical)

1499 LINCOLN AVE
SAINT PAUL, MN 55105

Ramsey County (651) 690-1542

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 Grant Booth PA Dba Booth Therapy's NPI number?

The NPI number for Grant Booth PA Dba Booth Therapy is 1861915001. It was assigned to this organization in the NPPES registry on July 19, 2017.

Where is Grant Booth PA Dba Booth Therapy located?

Grant Booth PA Dba Booth Therapy is located at 1499 Lincoln Ave, Saint Paul, MN 55105. The listed phone number is (651) 690-1542.

What is Grant Booth PA Dba Booth Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Grant Booth PA Dba Booth Therapy 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.