Tammie Roth, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

305286 Issued in MN

Practice address

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395

Phone

(651) 300-7795

NPI assigned

Feb 2, 2023

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

• Tammie Schlaht 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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1609572437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 WOODLAND AVE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "651-300-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TAMMIE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMIE",
            "last_name": "SCHLAHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Roth
• Kacie Roth, CNP
• Kathryn Ann Roth
• Kayla Nicole Roth, RN, IBCLC
• Risa Lorena Roth, M.ED.
• Nicholas Richard Rothbard, DO
• Peter R Rothe, MD
• David A Rothenberger, M.D.
• Meghan Kathleen Rothenberger, MD
• Jason Robert Rothenhoefer, MD

• Addiction (Substance Use Disorder) Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.