Sam Booth, M.A.
Mental Health Counselor · Fort Wayne, IN
Sam Booth, M.A. is a mental health counselor with a practice address in Fort Wayne, Indiana, and NPI 1063380475, issued on Oct 27, 2025. Check the license with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Sam Booth
- Credential
- M.A.
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- Practice location
- 9329 Illinois RD, Fort Wayne, IN 46804
- Phone
- (260) 444-6045
- Enumerated
- Oct 27, 2025
- Record last updated
- Oct 27, 2025
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,962 in Indiana → Look up another NPI →
Also registered at 9329 Illinois RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jay Bastian, LCSWSocial Worker1912363375
- Spencer Booth, PSYD, HSPPClinical Psychologist1730495813
- David Kurtz, MSW, LSWSocial Worker1508713199
Verify Sam Booth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Sam Booth among 4,962 mental health counselor records in Indiana
Sam Booth, M.A. is one of 4,962 mental health counselor records with a practice address in Indiana. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 87% of them.
- NPI issued2025 · 87% of these records are older, 5% newer
- In a Medicare fileNo · 11% of these records are
- In the CMS Doctors and Clinicians fileNo · 16% of these records are
- Record last updated2025 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
493 mental health counselor records list a practice address in Fort Wayne
They are 493 of the 9,203 NPPES records with a practice address in Fort Wayne, and 4,962 mental health counselor records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,962 in Indiana → Every provider in Fort Wayne → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- James Burg, LMFT, LMHC, PHDFort Wayne, IN 468041083716997
- Cheryl Confer, LMHCFort Wayne, IN 468041831170406
- Charlotte Elliott, LCSWFort Wayne, IN 468041073672937
- Tyson Flora, MA LMHCFort Wayne, IN 468041083709554
- Charles Howie, M.S., LMHC, LPCFort Wayne, IN 468041942267950
- Catherine Jantzen, LMHCFort Wayne, IN 468041669489985
- Douglas Kellenberger, MA, LMHCFort Wayne, IN 468041528215266
- David Kiningham, M.EDFort Wayne, IN 468041215025853
Common questions
What is Sam Booth, M.A.'s NPI number?
Sam Booth, M.A.'s National Provider Identifier (NPI) is 1063380475, issued on Oct 27, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Sam Booth, M.A. located?
The NPPES record lists a practice address at 9329 Illinois RD, Fort Wayne, IN, 46804. Phone: (260) 444-6045. Providers update this record themselves, so call before visiting.
How can I verify Sam Booth, M.A.'s license?
Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.