NPI age
16 years
Enumerated 2009-09-14
● Active
Type 1 · Individual
Tina L Boothe, CADAC
Boothe is 1 of 3 counselor providers in Lackland A F B and 1 of 2629 in Texas.
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2009-09-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2629 active counselor providers in Texas.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-09Enumerated in NPPES
2009
2026
Where they practice
Practice location
2200 Bergquist Dr
Lackland A F B, TX 782369907
Mailing address
2200 Bergquist Dr
Lackland A F B, TX 782369907
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1090 | ICRC |
Practice context
Part of a multi-provider practice. 124 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.