Individual provider Active NPI

Barbara Price Roth, LCPC

  • Professional Counselor
  • Portland, ME
National Provider Identifier
1740367184
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC1533 Issued in ME
Practice address
1321 Washington Ave Ste 312
Portland, ME 04103-3675
Phone
(207) 712-9986
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC1533 ME Primary

Addresses

Primary practice location

1321 Washington Ave Ste 312
Portland, ME 04103-3675

Mailing address

7 Susan LN
Falmouth, ME 04105-2527
Phone (207) 712-9986

Other practice location 1

7 Susan Ln
Falmouth, ME 04105-2527
Phone (207) 712-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20250305002372 ME Practitioner - Mental Health Counselor 0840711933 Practice locations: Portland, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1740367184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUSAN LN",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052527",
            "telephone_number": "207-712-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 312",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "207-712-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Susan Ln",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041052527",
            "country_code": "US",
            "telephone_number": "207-712-9986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BARBARA",
        "middle_name": "PRICE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.