Brye Roth, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2202815-SUPV Issued in OH

Practice address

1414 Riverside Dr Ste 200
Lakewood, OH 44107-3319

Phone

(440) 508-6765

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brye Roth LLC

  • Professional Counselor
  • Lakewood, OH
  • NPI 1144003807
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1265086193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 WINTON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073613",
            "telephone_number": "440-454-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 RIVERSIDE DR STE 200",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073319",
            "telephone_number": "440-508-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BRYE",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202815",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202815-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle Rose, LSW
• Donna M Ross, CNS
• Frank J Ross, DMD
• Jennifer Ross
• Susan Ross, O.D.
• Lawrence M Roth, LSW, CDCA
• Elizabeth Ruiz
• Joyce M Rusnak, SLP
• Russell Chiropractic LTD
• Anna Russell

• Professional Counselor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.