Amy Roth, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1517 Durham Rd
Penndel, PA 19047-5707

Phone

(215) 752-1541

Fax

(215) 752-2848

NPI assigned

Apr 15, 2011

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liv Well Associates IncGroup PAC ID 6002060332, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

Practice roles

Locations

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.

• Liv Associates, Inc.

  • Psychologist
  • Warminster, PA
  • NPI 1467704650
  Medicare reassignment Care Compare group NPD
• Liv Well Associates

  • Mental Health Counselor
  • Warminster, PA
  • NPI 1548615545
  NPD (past)

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1225328891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 WOODBOURNE RD",
            "address_2": "SUITE A-110",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571510",
            "telephone_number": "267-587-2310",
            "fax_number": "267-587-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "215-752-1541",
            "fax_number": "215-752-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "AMY",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Procter
• Chamonix Rassekh
• Eunice Reeves
• Olivia Reynolds
• Brett Rosenblatt
• Gabriella Ruiz
• Tracy Samuelson
• Carlos Fernando Sanchez
• Desiree Sanders
• Peter Gerard Sandwell, M.D.

• Mental Health Counselor in Penndel, PA
• Providers in Penndel, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.