Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831768258 Individual Practitioner Male Practitioner

Robert John Booth

Counselor - Mental Health • Appleton, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Robert Booth is a certified Counselor - Mental Health practicing in Appleton, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Robert Booth delivers high-quality medical care to the local community at 2500 E ENTERPRISE AVE STE B.

Robert Booth is affiliated with Nystrom And Associates Counseling Wi Sc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2500 E Enterprise Ave Ste B

Appleton, WI 549138556

Telephone 9204168577

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Appleton, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
76 Specialists

Practicing in Appleton, WI (2681 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Booth (5 Years) 5 Yrs
Appleton Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-04-14
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42251300 (WI)

Hospital & Practice Group Affiliations

Nystrom And Associates Counseling Wi Sc

2500 E Enterprise Ave, Appleton, WI 549138556

Phone: 9204168577

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Susanne Wesle , LPC

Counselor - Professional

NPI 1174147664

Licensed Professional Counselor

Sarah Motacek , LCSW

Social Worker - Clinical

NPI 1184089864

Licensed Clinical Social Worker

Elijah Freeman , MS, LPC

Counselor - Professional

NPI 1366193385

Master of Science, Licensed Professional Counselor

Heather Duzynski , APNP, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376317743

Advanced Practice Nurse Prescriber, Registered Nurse

Gabrielle Jochman , LCSW

Social Worker - Clinical

NPI 1407486541

Licensed Clinical Social Worker

Paul Kluz , LPC

Counselor - Professional

NPI 1447934427

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 14, 2023

Registered at 2500 E ENTERPRISE AVE STE B, APPLETON, WI 549138556 (Tel: 9204168577)

📍
Updated Practice Location September 12, 2022

Registered at 333 N GREEN BAY RD, NEENAH, WI 549561954 (Tel: 9207202300)

NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at E7475 RAWHIDE RD, NEW LONDON, WI 549619025 (Tel: 8773009101)

📍
Updated Business Mailing Address June 21, 2021

Registered at 1809 HICKORY LN, OSHKOSH, WI 549012510 (Tel: 8773009101)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as ROBERT BOOTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Counselor

🟢
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831768258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: April 14, 2023
Sole Proprietor: No

Mailing Address

1809 Hickory Ln

Oshkosh, WI 549012510

Phone: 8773009101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.