NPIMap

Organization Active NPI

Julie Roth, PLLC

  • Community/Behavioral Health Agency
  • Morton, IL
National Provider Identifier
1891379509
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JULIE ROTH, PLLC
Practice address
208 S 1St Ave
Morton, IL 61550-2044
Phone
(309) 585-6061
NPI assigned
May 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Authorized official

Name
Julie Roth, LCPCNPI 1992389605
Title
President
Phone
(309) 585-6061

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

208 S 1St Ave
Morton, IL 61550-2044

Mailing address

147 Maple Ridge Dr
Morton, IL 61550-1121
Phone (309) 712-6396

National Provider Directory

National Provider Directory

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": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1891379509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAPLE RIDGE DR",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501121",
            "telephone_number": "309-712-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S 1ST AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502044",
            "telephone_number": "309-585-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ROTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-585-6061",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.