Michele M Roth Ms LPC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00324400 Issued in NJ

Legal business name

MICHELE M ROTH MS LPC LLC

Practice address

3288 Delsea Dr Ste D
Franklinville, NJ 08322-3165

Phone

(856) 297-9689

Fax

(856) 243-2456

NPI assigned

Jul 10, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele M Roth, M.S.NPI 1396916441

Title

L.P.C.

Phone

(856) 297-9689

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Marie Roth, M.S., N.C.C., L.P.C.

  • Professional Counselor
  • Pitman, NJ
  • NPI 1396916441
  NPD (past) Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1821472721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W DEHART AVE",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083122458",
            "telephone_number": "856-297-9689",
            "fax_number": "856-243-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 DELSEA DR STE D",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083223165",
            "telephone_number": "856-297-9689",
            "fax_number": "856-243-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE M ROTH MS LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "L.P.C.",
        "authorized_official_telephone_number": "856-297-9689",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00324400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Franklinville, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.