Ann R Rothlisberger, LICENSED CLINICAL PR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

91974956004 Issued in UT

Practice address

447 N 300 W
Suite 7
Kaysville, UT 84037-4203

Phone

(410) 852-8459

Fax

(801) 544-6558

NPI assigned

Jan 4, 2007

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

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1205983145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N 300 W",
            "address_2": "SUITE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374203",
            "telephone_number": "410-852-8459",
            "fax_number": "801-544-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N 300 W",
            "address_2": "SUITE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374203",
            "telephone_number": "410-852-8459",
            "fax_number": "801-544-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHLISBERGER",
        "first_name": "ANN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LICENSED CLINICAL PR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "91974956004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.