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

Mr. Robert John Booth

Individual provider Mental Health Counselor · NPI 1831768258

Mr. Robert John Booth is a Mental Health Counselor in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

2500 E Enterprise Ave Ste B
Appleton, WI 54913-8556
Phone: (920) 416-8577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1831768258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023
Mailing address1809 Hickory Ln, Oshkosh, WI 54901-2510

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 Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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