HEIDI NICHOLE BOOTH (LPCC) – Professional Counselor, NPI 1386396513

HEIDI NICHOLE BOOTH (LPCC) is a healthcare provider. based in North ridgeville, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. E.2404005 (OH). The NPI Number for HEIDI NICHOLE BOOTH (LPCC) is 1386396513

Main info

Female
5 Years Of Experience
Name
HEIDI NICHOLE BOOTH (LPCC)
NPI
1386396513
Phone
(440) 732-5252
Address
33480 LIBERTY PKWY
Enumeration Date
19 January 2022
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407325252
Graduation Year
2021 (5 years ago)
PAC ID
8820437627
Group Practice PAC ID
3577902451
Professional Enrollment ID
I20240412001411
Address ID
OH440392670NO33480PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for HEIDI NICHOLE BOOTH (LPCC)

  • 33480 LIBERTY PKWY

    NORTH RIDGEVILLE, OH 440392670

    Phone: (440) 732-5252

    Mailing address matches the actual address.

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: 2024-04-12

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
I20240412001411IMental Health CounselorOHTBD

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 44039)

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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: 3577902451View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Is there an official ID for HEIDI NICHOLE BOOTH (LPCC) in U.S. healthcare records?
The official identifier for HEIDI NICHOLE BOOTH (LPCC) is NPI 1386396513.
Would HEIDI NICHOLE BOOTH (LPCC) appear as active to a payer?
You can treat HEIDI NICHOLE BOOTH (LPCC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe HEIDI NICHOLE BOOTH (LPCC)'s focus?
For HEIDI NICHOLE BOOTH (LPCC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with HEIDI NICHOLE BOOTH (LPCC)?
Directory geography for HEIDI NICHOLE BOOTH (LPCC) centers on North Ridgeville, Ohio.
Can I trust this NPI listing for HEIDI NICHOLE BOOTH (LPCC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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