Organization Active NPI

Roths Mha LLC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1417696253
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROTHS MHA LLC
Practice address
1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone
(605) 359-9448
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Carolyn F Roths, MA, LPCMH, QMHPNPI 1467448365
Title
Owner/Provider
Phone
(605) 359-9448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711

Mailing address

4208 S Ash Grove Ave
Sioux Falls, SD 57103-4910
Phone (605) 359-9448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327003461 SD Part B Supplier - Clinic/Group Practice 1850738758 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1417696253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 S ASH GROVE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034910",
            "telephone_number": "605-359-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103711",
            "telephone_number": "605-359-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTHS MHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "ROTHS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "605-359-9448",
        "authorized_official_credential": "MA, LPCMH, QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.