Ellen Nan Roth, M.F.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 16583 Issued in CA

Practice address

935 Westbourne Dr
#202
West Hollywood, CA 90069-4154

Phone

(310) 855-0223

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ellen Nan Roth-Jones Other name

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356550933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WESTBOURNE DR",
            "address_2": "#202",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694154",
            "telephone_number": "310-855-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WESTBOURNE DR",
            "address_2": "#202",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694154",
            "telephone_number": "310-855-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ELLEN",
        "middle_name": "NAN",
        "name_prefix": "Ms.",
        "credential": "M.F.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 16583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "ROTH-JONES",
            "middle_name": "NAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Royal Holdings Technologies Corp

• Marriage & Family Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.