JENNIFER MICHELLE ROTH (NPI# 1306381033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306381033 |
| Entity Type | Individual |
| Full Name | JENNIFER MICHELLE ROTH |
| Credential | LMHCA |
| Practice Address |
6544 Ferguson St Indianapolis IN 46220-1178 |
| Practice Telephone | 3176902941 |
| Mailing Telephone | 3176902941 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
888000416A | IN | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551700 | Jennifer Nicole Roth | Registered Nurse | 144 Erika Loop, Staten Island, NY 10312-6659 | 2015-02-25 |
| 1346647575 | Jennifer Wynn Roth | Massage Therapist | 2108 Broadwater Ave Ste 202, Billings, MT 59102-4732 | 2014-12-03 |
| 1346556149 | Jennifer Roth | Social Worker | 101 American Center Pl Ste 108, Tampa, FL 33619-4452 | 2010-08-31 |
| 1376543496 | Jennifer Ellen Roth | Physician Assistant | 524 S Washington St, Gettysburg, PA 17325-2594 | 2005-07-29 |
| 1447250733 | Jennifer Elizabeth Roth | Nurse Practitioner | 103 Azalea Way, Marshall, TX 75672-9265 | 2005-07-28 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1205309895 | Jennifer A Roth | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-01-07 |
| 1841735107 | Jennifer Roth | Student in an Organized Health Care Education/Training Program | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-12-22 |
| 1689057325 | Jennifer Isabel Roth | Counselor | 2608 Old Fair Rd, Grand Island, NE 68803-5271 | 2015-06-30 |
| 1629476106 | Jennifer Marie Roth | Registered Nurse | 7701 Sheridan Blvd, Westminster, CO 80003-2605 | 2014-12-15 |
| Street Address |
6544 FERGUSON ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664861 | Eric Bryan LLC | Counselor | 6544 Ferguson St, Indianapolis, IN 46220-1178 | 2018-10-05 |
| 1053857821 | Qualife Psychology, LLC | Psychologist | 6544 Ferguson St, Indianapolis, IN 46220-1178 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on JENNIFER MICHELLE ROTH.
| 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.