Individual provider · Type 1 NPI
Sam Booth, M.A.
Mental Health Counselor · Fort Wayne, IN
NPI number
1063380475
Active
Practice location
9329 Illinois Rd
Fort Wayne, IN 46804-5796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
6 other providers at this address
- Booth & Company, Inc.Clinical Psychologist Fort Wayne, IN NPI 1679694327
- Jay Bastian LLCClinical Social Worker Fort Wayne, IN NPI 1740780204
- People and Pathways Consulting LLCCommunity/Behavioral Health Agency Fort Wayne, IN NPI 1588511190
- David Lee Kurtz, MSW, LSWSocial Worker Fort Wayne, IN NPI 1508713199
- Jay Alan Bastian, LCSWSocial Worker Fort Wayne, IN NPI 1912363375
- Spencer Jenkins Booth, PSYD, HSPPClinical Psychologist Fort Wayne, IN NPI 1730495813
Other mental health counselor providers in Fort Wayne
- Alicia Jean Digiulio, MA, MSED, LMHCMental Health Counselor Fort Wayne, IN NPI 1003200775
- Jennifer Perry, MSMental Health Counselor Fort Wayne, IN NPI 1003236613
- Timothy Jay Hill, MSEDMental Health Counselor Fort Wayne, IN NPI 1003486119
- Molly Christina ColglazierMental Health Counselor Fort Wayne, IN NPI 1003702960
- Rita Kay Self, M.S.Mental Health Counselor Fort Wayne, IN NPI 1003946708
- Rachida Bejja, MSED, LMHCMental Health Counselor Fort Wayne, IN NPI 1013232172
- Aisha-Amina Smiley, MSWMental Health Counselor Fort Wayne, IN NPI 1013309681
- Tracy B. Hershberger, LMHCMental Health Counselor Fort Wayne, IN NPI 1013481027
About NPI 1063380475
Sam Booth, M.A.'s National Provider Identifier is 1063380475, issued on Oct 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 27, 2025.