RAVEN ALEXIS ROTH MA LAC LPCC NPI 1114529294

NPI Information

NPI: 1114529294
Provider Name: RAVEN ALEXIS ROTH, MA, LAC, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4401 S QUEBEC ST STE 200
DENVER, CO
ZIP 80237
Phone: (620) 804-2039
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Raven Alexis Roth, MA, LAC, LPCC is a professional counselor in Denver, CO. Raven Alexis Roth, MA, LAC, LPCC NPI is 1114529294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4401 S QUEBEC ST STE 200
DENVER, CO
ZIP 80237-635
Phone: (620) 804-2039

The enumeration date for this NPI number is 11/12/2020 and was last updated on 7/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0001568	COLORADO	No
2	101YP2500X	Counselor	Professional	LPC.0016845	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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