REBECCA ROTH (NPI# 1104371293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104371293 |
| Entity Type | Individual |
| Full Name | REBECCA ROTH |
| Other Name | REBECCA HALL |
| Credential | MA, RCI |
| Practice Address |
7711 W Riverside Dr Boise ID 83714-6182 |
| Practice Telephone | 2088538536 |
| Mailing Telephone | 2088538536 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
COUI-6033 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574011 | Rebecca Lee-won Roth | Counselor | 661 Taylor St, Port Orchard, WA 98366-4300 | 2020-09-29 |
| 1619239316 | Rebecca Ann Roth | Marriage & Family Therapist | 10600 Redmond Rd, Austin, TX 78739-1652 | 2012-06-09 |
| 1033404603 | Rebecca Fields Roth | Nurse Practitioner | 7163 Charnel Ln, Climax, NC 27233-9171 | 2011-06-12 |
| 1326345612 | Rebecca Roth | Acupuncturist | 954 Nw Ogden Ave, Bend, OR 97701-1622 | 2011-02-22 |
| 1568659126 | Rebecca Roth | Psychologist | 560 W Mitchell St Ste 208, Petoskey, MI 49770-2278 | 2007-09-27 |
| 1245454636 | Rebecca Roth | Counselor | 4113 Scotts Valley Dr Ste 212, Scotts Valley, CA 95066-4547 | 2007-04-13 |
| 1134603319 | Rebecca Roth | Nurse Practitioner | 134 Owensville Rd, West River, MD 20778-9702 | 2018-09-24 |
| 1801255252 | Rebecca Roth | Specialist | 1312 38th St, Brooklyn, NY 11218-3612 | 2016-02-14 |
| 1326470451 | Rebecca Roth | Speech-Language Pathologist | 3390 Saxonburg Blvd, Suite 250, Glenshaw, PA 15116-3160 | 2013-07-31 |
| Street Address |
7711 W RIVERSIDE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83714-6182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710011515 | Anita Collier | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2007-03-15 |
| 1912518275 | Austin Sturdivant | Physical Therapist | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2020-08-11 |
| 1699231456 | James Mcmurray | Physical Therapist | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2019-02-18 |
| 1447758990 | Kapka Zlatkova Smith | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2018-01-30 |
| 1912413279 | Ken Wells | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2017-12-22 |
| 1891144507 | Rebecca Davis | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2016-06-03 |
| 1710378930 | Nichole Marie Schallenberger | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2015-02-10 |
| 1083044168 | Guadalupe Ayala | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2013-11-26 |
| 1912244732 | Riverside Rehab Inc | Community/Behavioral Health | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2013-01-14 |
| 1912250051 | Ivy Shandel Williams | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| Find all providers in BOISE | ||||
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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.