MR. THOMAS C. BOOTH (NPI# 1144394180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144394180 |
Entity Type | Individual |
Full Name | MR. THOMAS C. BOOTH |
Credential | MA |
Practice Address |
210 Gateway Mall #342 Greentree Court Lincoln NE 68505-2489 |
Practice Telephone | 4024342730 |
Mailing Telephone | 4024342730 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0013 | NE | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2987 | NE | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
1547 | NE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47075636930 | 05 | |
NE | TRICARE | 68505A008 | 01 |
NE | BLUE CROSS & BLUE SHIELD | 85540 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245278027 | Thomas Edward Booth | Internal Medicine | 1340 Bayshore Hwy, Burlingame, CA 94010-1803 | 2006-06-03 |
1942828603 | Thomas C Booth II | Physical Medicine & Rehabilitation | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2020-07-09 |
1710236336 | Thomas Meredith Booth | Counselor | 20151 Nordhoff St, Chatsworth, CA 91311-6215 | 2012-08-29 |
1346468402 | Thomas Booth | Registered Nurse | 1221 Fulton Mall, Fresno, CA 93721-1915 | 2007-04-23 |
1043340912 | Thomas H. Booth II | Nurse Anesthetist, Certified Registered | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2007-03-07 |
1437121993 | Thomas D Booth | Family Medicine | 20 13th St W, Havre, MT 59501-5215 | 2006-02-07 |
Street Address |
210 GATEWAY MALL #342 GREENTREE COURT |
City | LINCOLN |
State | NE |
Zip Code | 68505-2489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033201660 | Julia Diane Kercher | Counselor | 210 Gateway Mall, Ste. 326, Lincoln, NE 68505-2489 | 2006-09-29 |
1194197053 | Mid-plains Center for Behavioral Healthcare Services, Inc. | Clinic/Center | 210 Gateway Mall, Lincoln, NE 68505-2489 | 2015-10-30 |
1508201047 | Michelle Bedore | Counselor | 210 Gateway Mall, Suite 342, Lincoln, NE 68505-2489 | 2013-05-09 |
1619216967 | Priscilla Petsch | Counselor | 210 Gateway Mall, Ste 342, Lincoln, NE 68505-2489 | 2013-02-06 |
1578817011 | Christina Jo Thomas | Counselor | 210 Gateway Mall, 342, Lincoln, NE 68505-2489 | 2012-11-06 |
1326309345 | Kareena Marie Boko | Counselor | 210 Gateway Mall, Ste 326, Lincoln, NE 68505-2489 | 2012-06-06 |
1033470109 | Carmen L Chaney | Counselor | 210 Gateway Mall, Suite 326, Lincoln, NE 68505-2489 | 2012-06-05 |
1548530298 | Shellee Becker | Counselor | 210 Gateway Mall, 326, Lincoln, NE 68505-2489 | 2012-01-11 |
1922376482 | Mid-plains Center for Behavioral Health Care Services, Inc | Community/Behavioral Health | 210 Gateway Mall, Suite 326, Lincoln, NE 68505-2489 | 2011-12-12 |
1760771075 | Tim Scott Huske | Counselor | 210 Gateway Mall, Greentree Court, Suite 342, Lincoln, NE 68505-2489 | 2011-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588158968 | Sean Thomas Stille | Optometrist | 6100 O Street, Lincoln, NE 68505 | 2018-06-19 |
1841544087 | Lance Tyler Otto | Chiropractor | 8222 Holdrege St., Lincoln, NE 68505 | 2012-11-08 |
1750685186 | George Randy Jeffrey | Physical Therapist | 770 N Cotner, # 125, Lincoln, NE 68505 | 2010-12-28 |
1194970327 | Rebecca G Guittar | Dietitian, Registered | 1601 N. 84th St., Hy-vee, Inc, Lincoln, NE 68505 | 2008-12-02 |
1649470659 | Linc Care, A Joint Venture | Durable Medical Equipment & Medical Supplies | 1601 North 86th Street, Suite 200, Lincoln, NE 68505 | 2007-07-19 |
1235354820 | Professional Eyecare Gateway Inc. | Optometrist | 6100 O St #59, Lincoln, NE 68505 | 2007-04-17 |
1548391774 | Stanley Leonard Schulte | Chiropractor | 1777 N. 86th St, Ste 102, Lincoln, NE 68505 | 2007-03-08 |
1396871224 | Allison Joanne Vyhnalek | Licensed Practical Nurse | 630 N Cotner, Suite 204, Lincoln, NE 68505 | 2007-02-26 |
1053454124 | William Jeffrey Geisert | Optometrist | 6100 O St, Bldg #59, Lincoln, NE 68505 | 2007-02-15 |
1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
Find all providers in zip 68505 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410533 | Anne Tapley, Ph.d., LLC | Counselor | 3801 Union Drive, Ste 206, Lincoln, NE 68516-6652 | 2020-09-01 |
1770195018 | Jolie Vega | Counselor | 8101 O St # S300, Lincoln, NE 68510-2646 | 2020-08-18 |
1366067068 | Alternative Avenues & Associates | Counselor | 4740 A St Ste 200, Lincoln, NE 68510-4824 | 2020-06-09 |
1689295560 | Mary Kay Wood, LLC | Counselor | 3611 Lowell Ave, Lincoln, NE 68506-4848 | 2020-05-01 |
1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
1336786565 | Jessica Schwartz | Counselor | 5 Old Cambridge Tpke, Lincoln, MA 01773-1804 | 2019-12-06 |
1518504182 | Positive Perspectives, PC | Counselor | 200 W F St, Lincoln, NE 68508-2964 | 2019-12-03 |
1922641471 | Kristine Anne Pothast | Counselor | 2120 S 56th St Ste 206, Lincoln, NE 68506-2118 | 2019-10-28 |
1841833019 | Chelsea Schutter | Counselor | 4747 Pioneers Blvd # 10d, Lincoln, NE 68506-5313 | 2019-10-21 |
1174180673 | Lisa Fern Mischke | Counselor | 1240 N 10th St, Lincoln, NE 68508-1125 | 2019-05-21 |
Find all providers in LINCOLN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.