Heidi Nichole Booth, LPCC in Bay Village, OH - Medicare Mental Health Counselor Provider

Heidi Nichole Booth, LPCC is a medicare enrolled "Counselor - Professional" provider in Bay Village, Ohio. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Phoenix Counseling Center Llc and her current practice location is 600 Dover Center Rd, Bay Village, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 742-4425.

Heidi Nichole Booth is licensed to practice in Ohio (license number E.2404005) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1386396513.

Contact Information

	Heidi Nichole Booth, LPCC
	600 Dover Center Rd, Bay Village, OH 44140-3310
	(440) 742-4425
	(440) 635-3809

Map and Direction

Healthcare Provider's Profile

Full Name	Heidi Nichole Booth
Gender	Female
Speciality	Mental Health Counselor
Experience	5 Years
Location	600 Dover Center Rd, Bay Village, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Heidi Nichole Booth graduated from medical school in 2021

NPI Data:

NPI Number: 1386396513
Provider Enumeration Date: 01/19/2022
Last Update Date: 05/28/2026

Medicare PECOS Information:

PECOS PAC ID: 8820437627
Enrollment ID: I20240412001411

Medical Identifiers

Medical identifiers for Heidi Nichole Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386396513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.2404005 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenix Counseling Center Llc	3577902451	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Heidi Nichole Booth allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801309141 PECOS PAC ID: 3577902451 Enrollment ID: O20240412000370

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heidi Nichole Booth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Heidi Nichole Booth, LPCC 600 Dover Center Rd, Bay Village, OH 44140-3310 Ph: (419) 624-2427	Heidi Nichole Booth, LPCC 600 Dover Center Rd, Bay Village, OH 44140-3310 Ph: (440) 742-4425

Reviews and Comments

Counselor in Bay Village, OH

Dr. Seth Allen Garcia, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 537 Parkside Dr, Bay Village, OH 44140 Phone: 330-285-5100 Fax: 216-431-7189
Chelsea Hage, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Dover Center Rd # 3, Bay Village, OH 44140 Phone: 440-742-4425
Julie Ann Reed, NCC, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 27101 E Oviatt Rd, Bay Village, OH 44140 Phone: 440-742-4425 Fax: 440-471-7926

Heidi Nichole Booth, LPCC - Medicare Counselor in Bay Village, OH