Holly Nicole Rothenbush, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35001605A Issued in IN

Practice address

1910 Saint Joe Center Rd Ste 23
Fort Wayne, IN 46825-5000

Phone

(260) 484-5599

Fax

(260) 484-5664

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dunn Associates PC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1740362391
  NPD (past)
• Elevation Enterprises, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1538932728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194896761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 23",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-484-5599",
            "fax_number": "260-484-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 23",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-484-5599",
            "fax_number": "260-484-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBUSH",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "35001605A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Christopher Roth, DO, MBA, MS
• Meredith Roth, PA-C
• Su Roth
• Theresa L Roth, RN
• Zachary D Roth, O.D.
• Amanda Rothgeb
• Michale Diane Rothgeb, PTA
• Rachael M Rothgeb, DPT
• Sara M Rothgeb, MSN, FNP-C
• Peter M Rothman, MD

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.