Individual provider Active NPI

Margaret S. Roth, M.S.ED

  • Marriage & Family Therapist
  • Philadelphia, PA
National Provider Identifier
1720284615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000049 Issued in PA
Practice address
4025 Chestnut St
1St Floor
Philadelphia, PA 19104-3054
Phone
(215) 382-6680
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000049 PA Primary

Addresses

Primary practice location

4025 Chestnut St
1St Floor
Philadelphia, PA 19104-3054

Mailing address

1094 Tinkerhill Rd
Malvern, PA 19355-7603
Phone (610) 935-7393

Other identifiers 2

IdentifierTypeStateIssuer
MF000049OtherPAMFT LICENSE NUMBER
27093OtherPAAAMFT IDENTIFICATION NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 6, 2024 through Jun 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF000049PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Relationships Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720284615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 TINKERHILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193557603",
            "telephone_number": "610-935-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043054",
            "telephone_number": "215-382-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MARGARET",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT LICENSE NUMBER",
            "identifier": "MF000049",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAMFT IDENTIFICATION NUMB",
            "identifier": "27093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.