Active NPI
Samantha Roth
- Mental Health Counselor
- Coconut Creek, FL
National Provider Identifier
1871147371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17218
- Practice address
- 4101 Coral Tree Cir Apt 211
Coconut Creek, FL 33073-4413 - Phone
- (786) 472-2324
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17218 | FL | Primary |
Addresses
Primary practice location
4101 Coral Tree Cir Apt 211
Coconut Creek, FL 33073-4413
Mailing address
4101 Coral Tree Cir Apt 211
Coconut Creek, FL 33073-4413
Phone (786) 472-2324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH17218 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daily Victories Counseling, LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Delray Beach, FL
- NPI 1053926600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1871147371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 CORAL TREE CIR APT 211",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734413",
"telephone_number": "786-472-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 CORAL TREE CIR APT 211",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734413",
"telephone_number": "786-472-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2022-08-17",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.