Linda Hennessey Roth, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87270 Issued in CA

Practice address

700 Mill St Ste 14
Half Moon Bay, CA 94019-1781

Phone

(650) 397-1616

Fax

(650) 729-0852

NPI assigned

Jan 4, 2012

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

• Linda Hennessey Roth Former 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": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1457621658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MILL ST STE 14",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191781",
            "telephone_number": "650-397-1616",
            "fax_number": "650-729-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MILL ST STE 14",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191781",
            "telephone_number": "650-397-1616",
            "fax_number": "650-729-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY ROTH",
        "first_name": "LINDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HENNESSEY ROTH",
            "credential": "LMFT 87270",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Half Moon Bay, CA
• Providers in Half Moon Bay, 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 31, 2020; 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.