Individual provider Active NPI

Carolyn F Roths, LPCMH LMFT

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1467448365
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCMH2094 Issued in SD
Practice address
1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone
(605) 359-9448
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT1135 SD
Mental Health Counselor 101YM0800X LPCMH2094 SD Primary

Addresses

Primary practice location

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

Mailing address

1500 S Sycamore Ave Ste 102
Sioux Falls, SD 57110-3711
Phone (605) 359-9448

Other identifiers 1

IdentifierTypeStateIssuer
6575670MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327003526 SD Practitioner - Mental Health Counselor 2769829662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 S Sycamore Ave
Suite 102
Sioux Falls, SD 57110-3711
Phone (605) 359-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCMH2094SDMDMental Health Counselor
LMFT1135SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roths Mha LLC Mental Health CurrentSince Feb 12, 2024 Accepting new patients
GPPS LLC PastSince Jun 1, 1993 Accepting new patients

Locations

1500 S Sycamore Ave
Ste 102
Sioux Falls, SD 57110
Phone (605) 359-9448

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1467448365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S SYCAMORE AVE STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103711",
            "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": {
        "last_name": "ROTHS",
        "first_name": "CAROLYN",
        "middle_name": "F",
        "credential": "LPCMH LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1135",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575670",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.