Organization Active NPI

Mitchell Roth

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1699263327
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14604 Issued in FL
Legal business name
MITCHELL ROTH
Practice address
200 Knuth Rd Ste 254
Boynton Beach, FL 33436-4637
Phone
(561) 740-5642
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Mitchell Roth, LMHCNPI 1760837470
Title
LMHC/Owner
Phone
(561) 740-5642

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 14604 FL Primary

Addresses

Primary practice location

200 Knuth Rd Ste 254
Boynton Beach, FL 33436-4637

Mailing address

200 Knuth Rd Ste 254
Boynton Beach, FL 33436-4637
Phone (561) 740-5642

National Provider Directory

National Provider Directory

Locations

200 Knuth Rd
Ste 254
Boynton Beach, FL 33436
Phone (305) 522-2821

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1699263327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD STE 254",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364637",
            "telephone_number": "561-740-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD STE 254",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364637",
            "telephone_number": "561-740-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ROTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "561-740-5642",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.