Active NPI
Nicole A Roth
- Addiction (Substance Use Disorder) Counselor
- Scottsdale, AZ
National Provider Identifier
1053958025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3200 N Hayden Rd Ste 105
Scottsdale, AZ 85251-6766 - Phone
- (602) 679-4548
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3200 N Hayden Rd Ste 105
Scottsdale, AZ 85251-6766
Mailing address
8010 E Morgan TRL Ste 5
Scottsdale, AZ 85258-1234
Phone (602) 679-4548
Other practice location 1
5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570
Phone (602) 714-3912
Electronic endpoints 9
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | actcounseling.com | ||
| CONNECT URL | actcounseling.com | ||
| Other URL | actcounseling.com | ||
| CONNECT URL | actcounseling.com | ||
| Other URL | actcounseling.com | ||
| CONNECT URL | actcounseling.com | ||
| CONNECT URL | actcounseling.com | ||
| Other URL | actcounseling.com | ||
| CONNECT URL | actcounseling.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1053958025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 E MORGAN TRL STE 5",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852581234",
"telephone_number": "602-679-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N HAYDEN RD STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516766",
"telephone_number": "602-679-4548"
}
],
"practiceLocations": [
{
"address_1": "5010 E Shea Blvd Ste D202",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852544570",
"country_code": "US",
"telephone_number": "602-714-3912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "NICOLE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "actcounseling.com",
"affiliation": "N",
"address_1": "5010 E Shea Blvd Ste D202",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.