Amy Rotz, L.M.F.T.A

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60566355 Issued in WA

Practice address

1715 114TH Ave SE
Suite 208
Bellevue, WA 98004-6945

Phone

(360) 305-4622

NPI assigned

Sep 4, 2015

Last updated

Sep 4, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 8, 2024 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1508234618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 30TH AVE",
            "address_2": "APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226227",
            "telephone_number": "360-305-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 114TH AVE SE",
            "address_2": "SUITE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046945",
            "telephone_number": "360-305-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTZ",
        "first_name": "AMY",
        "credential": "L.M.F.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60566355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFTA ASSOCIATE CREDENTIAL",
            "identifier": "MG60566355",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ross
• Susan Ross, MSW
• Audrey R Rostov, MD
• Michelle Lauren Rotberg, BSN, RN
• Steven Rothman, PH.D.
• Nasrin Rousta, MS, LMHC
• Linda A Rowan, MS, MSN, PMNHP-BC
• Ann Rowberg, LMP
• Katherine Rowe, MSN, CNM
• Blake Donald Rowinski, DPT

• Marriage & Family Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.