ELISA ROTH LMHC NPI 1629464102

NPI Information

  • NPI: 1629464102
  • Provider Name: ELISA ROTH, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1225 S GEAR AVE
    WEST BURLINGTON, IA
    ZIP 52655
  • Phone: (319) 850-3443

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NPI Details

Elisa Roth, LMHC is a mental health counselor in West Burlington, IA with 18 years of experience. Elisa Roth, LMHC NPI is 1629464102. 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:

1225 S GEAR AVE
WEST BURLINGTON, IA
ZIP 52655-691
Phone: (319) 850-3443

The NPI 1629464102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 3/29/2021.

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
1101YM0800XCounselorMental Health1691IOWAYes

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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