Individual provider Active NPI

Nicole A Roth

  • Addiction (Substance Use Disorder) Counselor
  • Scottsdale, AZ
National Provider Identifier
1053958025
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.