Tasia Roth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TASIA ROTH

Doing business as

The Protea Clinc LLC

Practice address

241 W 380 S
American Fork, UT 84003-0241

Phone

(435) 669-6466

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Tasia Roth, LCSWNPI 1942662655

Title

Owner/Clinical Director

Phone

(435) 669-6466

Specialties & licenses 1

Addresses

Other names 1

• The Protea Clinc LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tasia Roth, LCSW

  • Clinical Social Worker
  • Draper, UT
  • NPI 1942662655
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1356034391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W 380 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840030241",
            "telephone_number": "435-669-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W 380 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840030241",
            "telephone_number": "435-669-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASIA ROTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "TASIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "435-669-6466",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Protea Clinc LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Taylor Swallow, DDS
• Todd Bruce Taggart, DPT
• Mohammad Entezari Taher, MD
• Heather Talbot
• Brad Tanner, LMFT
• Brandon H Tayler, D.D.S
• Taylor Drug Inc
• Michael Dean Taylor, MD
• Michael Scott Taylor, PT
• Patricia Ellen Taylor, PHD

• Clinical Social Worker in American Fork, UT
• Providers in American Fork, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.