KIMBERLY LYNN ROTH M.A. NPI 1942323100

NPI Information

  • NPI: 1942323100
  • Provider Name: KIMBERLY LYNN ROTH, M.A.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 745 S MILLEDGE AVE STE 1A
    ATHENS, GA
    ZIP 30605
  • Phone: (706) 498-9560

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NPI Details

Kimberly Lynn Roth, M.A. is a professional counselor in Athens, GA with 22 years of experience. Kimberly Lynn Roth, M.A. NPI is 1942323100. 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:

745 S MILLEDGE AVE STE 1A
ATHENS, GA
ZIP 30605-292
Phone: (706) 498-9560

The NPI 1942323100 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 4/10/2007 and was last updated on 11/19/2024.

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
1101Y00000XCounselorLPC004836GEORGIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LPC004836GEORGIANo
3101YP2500XCounselorProfessionalLPC004836GEORGIAYes

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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