RAEANN BOOTHE – Professional Counselor, NPI 1144728205

RAEANN BOOTHE is a healthcare provider. based in Logan, Ohio. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for RAEANN BOOTHE is 1144728205

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
RAEANN BOOTHE
NPI
1144728205
Phone
(740) 385-2555
Address
313 CHIEFTAIN DR
Enumeration Date
24 January 2018
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3044851721
Graduation Year
2017 (9 years ago)
PAC ID
4789034992
Group Practice PAC ID
3375443054
Professional Enrollment ID
I20240215002334
Address ID
WV261013803PA2121XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for RAEANN BOOTHE

  • Chieftain Drive, Logan, Hocking County, Ohio, 43138, United States

    LOGAN, OH 43138

    Phone: (740) 385-2555

    Fax: (740) 773-4032

    Type: Location

  • 2121 7th St

    Parkersburg, WV 261013803

    Phone: (304) 485-1721

    Type: Location

  • 1049, Western Avenue, Randall Terrace, Chillicothe, Ross County, Ohio, 45601, United States

    CHILLICOTHE, OH 456011104

    Phone: (740) 773-4366

    Fax: (740) 775-7855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240215002334IMental Health CounselorWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375443054View full group profile
NameSpecialtyState
Mental Health CounselorWV
Clinical Social WorkerFL
Mental Health CounselorWV
Clinical Social WorkerOH
-WV
P S Y C H I A T R YWV
Mental Health CounselorAZ
Clinical Social WorkerWV
Clinical Social WorkerWV
Nurse PractitionerWV

Reviews

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Frequently asked questions

Can I verify RAEANN BOOTHE with an NPI only?
You can start verification with NPI 1144728205 for RAEANN BOOTHE, then check state licensing separately.
Is RAEANN BOOTHE still practicing?
RAEANN BOOTHE is currently listed as active in the public NPI registry.
What is RAEANN BOOTHE's primary classification?
Professional Counselor is the headline specialty for RAEANN BOOTHE here. Clinical services aligned with this taxonomy classification.
Does RAEANN BOOTHE list a practice location?
Patients near Logan, Ohio may find RAEANN BOOTHE in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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