JENNIFER A ROTH (NPI# 1205309895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205309895 |
| Entity Type | Individual |
| Full Name | JENNIFER A ROTH |
| Practice Address |
9245 Quantrelle Ave Ne Otsego MN 55330-0168 |
| Practice Telephone | 7637469492 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381033 | Jennifer Michelle Roth | Counselor | 6544 Ferguson St, Indianapolis, IN 46220-1178 | 2017-01-04 |
| 1538551700 | Jennifer Nicole Roth | Registered Nurse | 144 Erika Loop, Staten Island, NY 10312-6659 | 2015-02-25 |
| 1346647575 | Jennifer Wynn Roth | Massage Therapist | 2108 Broadwater Ave Ste 202, Billings, MT 59102-4732 | 2014-12-03 |
| 1346556149 | Jennifer Roth | Social Worker | 101 American Center Pl Ste 108, Tampa, FL 33619-4452 | 2010-08-31 |
| 1376543496 | Jennifer Ellen Roth | Physician Assistant | 524 S Washington St, Gettysburg, PA 17325-2594 | 2005-07-29 |
| 1447250733 | Jennifer Elizabeth Roth | Nurse Practitioner | 103 Azalea Way, Marshall, TX 75672-9265 | 2005-07-28 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1841735107 | Jennifer Roth | Student in an Organized Health Care Education/Training Program | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-12-22 |
| 1689057325 | Jennifer Isabel Roth | Counselor | 2608 Old Fair Rd, Grand Island, NE 68803-5271 | 2015-06-30 |
| 1629476106 | Jennifer Marie Roth | Registered Nurse | 7701 Sheridan Blvd, Westminster, CO 80003-2605 | 2014-12-15 |
| Street Address |
9245 QUANTRELLE AVE NE |
| City | OTSEGO |
| State | MN |
| Zip Code | 55330-0168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973892 | Linnea A Ritter | Nurse Practitioner | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2006-02-28 |
| 1780281295 | Holly J Oachs | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-10-07 |
| 1881219632 | Kathryn Hartman Valine | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-06-08 |
| 1932722592 | Lily Rose Larson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-05-18 |
| 1033739495 | Heather Jo Voss | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-04-25 |
| 1487287264 | Julie Elizabeth Lindenfelser | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-19 |
| 1447882832 | Laurel Anae Kimpton | Psychologist | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-02-04 |
| 1659910594 | Alissa Christenson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-23 |
| 1053959171 | Kevin Alan Augustin | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-19 |
| 1336791995 | Melissa Lou Nikovics | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487021671 | Kelsey Anderson | Counselor | 16201 90th Street Nw, Suite 200, Otsego, MN 55330 | 2015-08-24 |
| 1932722592 | Lily Rose Larson | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2020-05-18 |
| 1053959171 | Kevin Alan Augustin | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-12-19 |
| 1144886557 | Chelsea Moriarity | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2019-05-13 |
| 1316451271 | Laurie Campbell Lohr | Counselor | 16201 90th St Ne Ste 200, Otsego, MN 55330-7464 | 2017-11-29 |
| 1225549520 | Penny Gillen | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2017-10-13 |
| 1841725181 | Brianna Lynn Benson | Counselor | 16201 90th St Ne, Otsego, MN 55330-7463 | 2017-04-24 |
| 1780120378 | Amber Recker | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2017-01-06 |
| 1952750788 | David Alan Wheelhouse | Counselor | 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 | 2016-06-13 |
| 1346603503 | Shawna Veldhuizen | Counselor | 16201 90th Street Nw, Suite 200, Otsego, MN 55330 | 2016-04-04 |
| Find all providers in OTSEGO | ||||
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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.