Anna Laurie Roth, M.A. LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60390532 Issued in WA

Practice address

2265 Como Ave
Saint Paul, MN 55108-1737

Phone

(888) 364-5977

Fax

(844) 385-4630

NPI assigned

Aug 22, 2013

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)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

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.

• Emily Program PC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  NPD (past)

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1205260569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BANDANA BLVD N STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085126",
            "telephone_number": "888-364-5977",
            "fax_number": "844-385-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081737",
            "telephone_number": "888-364-5977",
            "fax_number": "844-385-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Westlake Ave N",
            "address_2": "#650",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981093012",
            "country_code": "US",
            "telephone_number": "206-283-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ANNA",
        "middle_name": "LAURIE",
        "credential": "M.A. LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60390532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Rossmiller, MD
• Rebecca C Rossom, M.D.
• Lauryn Roszak, PT
• Matthew J Roszkowski, DDS MS
• Dan Rotach, D,MIN., LMFT
• Mikki Jo Rothbauer, MSW, LICSW
• Willow Rothenberg
• Rotibola LLC
• John F Rotilie, MD
• Rotilie, Toman, McRaith, LLC

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.