Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Nichole Booth, LPCC

Individual provider Professional Counselor · NPI 1386396513

Heidi Nichole Booth, LPCC is a Mental Health Counselor in Bay Village, Ohio. Qualified in 2021, 5 years ago. Practices with Phoenix Counseling Center LLC, a 6-clinician group. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

600 Dover Center Rd
Bay Village, OH 44140-3310
Phone: (440) 742-4425
Fax: (440) 635-3809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2404005 (OH)

Record details

NPI number1386396513
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJanuary 19, 2022
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address600 Dover Center Rd, Bay Village, OH 44140-3310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phoenix Counseling Center Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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