MR. DALE LEON ROTH (NPI# 1023105756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023105756 |
| Entity Type | Individual |
| Full Name | MR. DALE LEON ROTH |
| Credential | MDV DAVIS LMHP LAPC |
| Practice Address |
4432 Sunrise Place Columbus NE 68601 |
| Mailing Address |
600 S 13th Street Norfolk NE 68701 |
| Practice Telephone | 4025649994 |
| Practice Fax Number | 4025626458 |
| Mailing Telephone | 4023703140 |
| Mailing Fax Number | 4023703370 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
562 | NE | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
2512 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS AUX | 97061 | 01 | |
| BCBS | 85330 | 01 |
| Street Address |
4432 SUNRISE PLACE |
| City | COLUMBUS |
| State | NE |
| Zip Code | 68601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612433 | Cassie L. Snodgrass | Massage Therapist | 3763 39th Ave Suite 100, Columbus, NE 68601 | 2017-04-10 |
| 1184176935 | Janelle Ryan | Speech-Language Pathologist | 2410 16th Street, Columbus, NE 68601 | 2016-10-27 |
| 1366994113 | Lorie Young | Speech-Language Pathologist | 2508 27th Street, Columbus, NE 68601 | 2016-10-27 |
| 1649722497 | Joette Post | Speech-Language Pathologist | 4100 Adamy Street, Columbus, NE 68601 | 2016-10-27 |
| 1699144360 | Sara Werner | Speech-Language Pathologist | 3744 83rd St, Columbus, NE 68601 | 2015-09-23 |
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1295014983 | Amberlace A Citta | Nurse Practitioner | 3775 45th Avenue, Columbus, NE 68601 | 2011-08-11 |
| 1457630535 | Erin Brooke Schmidt | Speech-Language Pathologist | 3005 35th Street, Columbus, NE 68601 | 2011-08-08 |
| 1831483239 | Kelli Parsons | Counselor | 3314 26th St Ste A, Columbus, NE 68601 | 2011-06-02 |
| 1699926758 | East Central District Health Department Reproductive Health Clinic | Obstetrics & Gynecology | 2282 East 32nd Ave, Columbus, NE 68601 | 2008-10-08 |
| Find all providers in zip 68601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1710593736 | Lisa Rooker | Counselor | 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 | 2020-09-16 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| 1841811270 | Tera Shevon Wise | Counselor | 1390 Dublin Rd, Columbus, OH 43215-1009 | 2020-04-27 |
| 1699303669 | Killian Counseling LLC | Counselor | 2700 E Main St Ste 106, Columbus, OH 43209-2536 | 2020-03-27 |
| 1366076853 | Lukas Planck | Counselor | 2984 Cortona Rd, Columbus, OH 43204-3601 | 2020-02-24 |
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.