MRS. MARY ANN ROTH (NPI# 1033300017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033300017 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN ROTH |
| Credential | LPC |
| Practice Address |
E12155 Side Rd Baraboo WI 53913-9752 |
| Practice Telephone | 6082094480 |
| Practice Fax Number | 6083550527 |
| Mailing Telephone | 6082094480 |
| Mailing Fax Number | 6083550527 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2800 | NC | Behavioral Health & Social Service Providers |
| Street Address |
E12155 SIDE RD |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793746 | Tara Marie Lee | Counselor | 727 8th St # Ll, Baraboo, WI 53913-1794 | 2019-01-07 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1053732149 | Erin Robbins | Counselor | 130 4th St, Baraboo, WI 53913-2147 | 2013-12-17 |
| 1720610454 | Brittany Marie Hayes | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2020-02-11 |
| 1356909139 | Sara Tiffany Graap | Counselor | 505 Broadway St, Baraboo, WI 53913-2183 | 2019-06-05 |
| 1720543226 | Adam Short | Counselor | 727 8th St, Baraboo, WI 53913-1794 | 2019-02-08 |
| 1588128631 | Meghan Krueger | Counselor | 727 8th St Lowr Level, Baraboo, WI 53913-1794 | 2019-01-23 |
| 1891259958 | Anna Roberts | Counselor | 727 8th St, Baraboo, WI 53913-1794 | 2019-01-23 |
| 1265905798 | Celie Valentin | Counselor | 727 8th St, Baraboo, WI 53913-1794 | 2019-01-08 |
| 1215400858 | Kathryn Michele Fitzpatrick | Counselor | 727 8th St, Baraboo, WI 53913-1794 | 2019-01-07 |
| Find all providers in BARABOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.