AMANDA ROTH LLC NPI 1295448256

NPI Information

NPI: 1295448256
Provider Name: AMANDA ROTH, LLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 956 12TH ST
CODY, WY
ZIP 82414
Phone: (307) 751-5111

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NPI Details

AMANDA ROTH, LLC is a mental health counselor in Cody, WY. AMANDA ROTH, LLC NPI is 1295448256. The provider is registered as an organization entity type.

The provider's business location address is:

956 12TH ST
CODY, WY
ZIP 82414-602
Phone: (307) 751-5111
Fax: (307) 587-4014

The provider's authorized official is Amanda Roth .
The authorized official title is Owner / Counselor and has the following contact phone number (307) 751-5111.

The enumeration date for this NPI number is 1/4/2023 and was last updated on 1/4/2023.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LPC-2124	OTHER	WYOMING	MENTAL HEALTH PROFESSIONALS LICENSING BOARD

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: 11/21/2025

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