JOHN BOOTH (NPI# 1245600840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245600840 |
| Entity Type | Individual |
| Full Name | JOHN BOOTH |
| Other Name | LJ BOOTH |
| Credential | MFT |
| Practice Address |
520 N 28th Ave Suite 200 Wausau WI 54401-4101 |
| Mailing Address |
E1494 County Road Q Scandinavia WI 54977-9727 |
| Practice Telephone | 7158454900 |
| Mailing Telephone | 7154672442 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 479-228 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992871297 | John Douglas Booth | Dentist | 2410 L and N Drive, Suite A, Huntsville, AL 35801 | 2006-11-28 |
| 1114006418 | John Andrew Booth | Psychiatry & Neurology | 3015 O St, Sacramento, CA 95816-6516 | 2006-11-06 |
| 1396752911 | John Booth Ix | Home Health Aide | 508 N Washington Ave, Mt Pleasant, TX 75455-3318 | 2006-08-03 |
| 1528064292 | John Vincent Booth | Anesthesiology | 9101 Stony Point Dr, Richmond, VA 23235-1979 | 2005-06-27 |
| 1487085924 | John Booth IIi | Chiropractor | 2360 State Route 89, Seneca Falls, NY 13148-9425 | 2013-12-10 |
| 1871565366 | John Price Booth | Family Medicine | 523 S Dargan St, Florence, SC 29506-2549 | 2006-02-07 |
| Street Address |
520 N 28TH AVE SUITE 200 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184676827 | Christian De Gregorio | Psychiatry & Neurology | 520 N 28th Ave, Suite 200, Wausau, WI 54401-4108 | 2006-05-17 |
| 1336601533 | Morgan Lee Nachtwey | Occupational Therapist | 520 N 28th Ave, Wausau, WI 54401-4101 | 2019-04-05 |
| 1174069538 | Ashleigh Reimer | Occupational Therapist | 520 N 28th Ave, Wausau, WI 54401-4101 | 2017-01-10 |
| 1083955165 | Aspirus Wausau Hospital, Inc. | Clinic/Center | 520 N 28th Ave, Wausau, WI 54401-4101 | 2013-03-14 |
| 1649369687 | Aspirus Clinics, Inc. | Clinic/Center | 520 N 28th Ave, Suite 200, Wausau, WI 54401-4101 | 2006-10-11 |
| 1851315436 | Melissa R Skrzypchak | Social Worker | 520 N 28th Ave, Suite 100, Wausau, WI 54401-4108 | 2006-07-27 |
| 1174564645 | Anthony P Gillette | Psychologist | 520 N 28th Ave, Ste 200, Wausau, WI 54401 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093955627 | Amie Jayne Leonoff | Marriage & Family Therapist | 901 N. 6th St, The Centre for Wellbeing, Wausau, WI 54403 | 2009-02-22 |
| 1871669291 | Gary D Yeast | Marriage & Family Therapist | 301 East Kent Street, Wausau, WI 54403 | 2006-11-28 |
| 1972674521 | Gary Don Yeast | Marriage & Family Therapist | 301 E Kent Street, Wausau, WI 54403 | 2006-11-13 |
| 1639420383 | Kathleen M Casmey | Marriage & Family Therapist | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2012-09-20 |
| 1013285006 | Katie L Waraksa | Marriage & Family Therapist | 2600 Stewart Ave, Suite 38, Wausau, WI 54401-4148 | 2011-12-06 |
| 1417184367 | Tanya Ann Simonis | Marriage & Family Therapist | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2009-06-18 |
| 1144479395 | Ryan Andrew Jacobson | Marriage & Family Therapist | 1810 N 2nd St, Wausau, WI 54403-3492 | 2008-09-11 |
| 1962676882 | Suzanne Grim | Marriage & Family Therapist | 631 Forest St, Wausau, WI 54403-5524 | 2008-04-22 |
| 1083831846 | Jennifer A. Starkey Munson | Marriage & Family Therapist | 2620 Stewart Ave Ste 310, Wausau, WI 54401-4162 | 2007-04-20 |
| 1821169566 | Barbara Jean Yeast | Marriage & Family Therapist | 301 E Kent St, Wausau, WI 54403 | 2006-11-13 |
| Find all providers in WAUSAU | ||||
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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.