LISA CAROLYN ROTH (NPI# 1295254522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295254522 |
| Entity Type | Individual |
| Full Name | LISA CAROLYN ROTH |
| Credential | LAC |
| Practice Address |
101 E Broadway Ave Bismarck ND 58501-3840 |
| Practice Telephone | 7012220386 |
| Practice Fax Number | 7012554891 |
| Mailing Telephone | 7012220386 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| 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) |
1795 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1730116807 | Lisa Caren Roth | Allergy & Immunology | 10 Union Ave, Suite11a&b, Lynbrook, NY 11563-3397 | 2006-06-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1083133235 | Lisa Hughes Roth | Dietitian, Registered | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-09-19 |
| 1336501857 | Lisa Sharon Roth | Psychologist | 399 Laurel St, Suite 5, San Francisco, CA 94118-1951 | 2016-03-23 |
| 1679986715 | Lisa Anne Roth | Pediatrics | 3401 Civic Center Blvd Rm 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2014-06-06 |
| 1780823245 | Lisa Bettina Roth | Social Worker | 40 Park Ln, Highland, NY 12528 | 2009-02-06 |
| 1376704742 | Lisa Roth | Pediatrics | 1275 York Ave, Department of Pediatrics, New York, NY 10065-6007 | 2008-06-19 |
| 1871762609 | Lisa Michelle Roth | Specialist/Technologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-02-26 |
| 1558576561 | Lisa M Roth | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-12 |
| Street Address |
101 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562265 | Michelle Dion Sanders | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2020-09-09 |
| 1598223232 | Layn Larae Sabot | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2019-03-12 |
| 1255897278 | Crystal Day Askvig | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2019-02-14 |
| 1457822686 | Kelsey Amelia Labere | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2018-12-16 |
| 1467819664 | Tracy Ochsner | Substance Abuse Rehabilitation Facility | 101 E Broadway Ave, Bismarck, ND 58501-3840 | 2016-01-20 |
| 1578975173 | Karissa Marie Kautzman | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2014-05-30 |
| 1083827125 | Claudia L Ziegler | Counselor | 101 E Broadway Ave, Heartview Foundation, Bismarck, ND 58501 | 2007-05-07 |
| 1619019585 | Darcy Caleb Olson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501-3840 | 2007-02-13 |
| 1508912288 | Bruce L Carlson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2007-01-26 |
| 1922152560 | Marlin J E Johnson | Internal Medicine | 101 E Broadway Ave, Heartview Foundation, Bismarck, ND 58501 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1477112399 | Rb Counseling Service LLC | Counselor | 433 E Bismarck Expy Ste 3, Bismarck, ND 58504-6500 | 2019-06-13 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1821508698 | Calie Brown | Counselor | 107 W Main Ave Ste 350, Bismarck, ND 58501-3893 | 2017-10-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1699123117 | Dakota Institute of Trauma Therapy | Counselor | 4023 State St # 120, Bismarck, ND 58503-0690 | 2016-05-25 |
| 1811239106 | Roger Morris Peet | Counselor | 101 E. Broadway Ave., Bismarck, ND 58501 | 2013-03-25 |
| 1447598446 | Marjean L. Schwehr | Counselor | 101 East Broadway Avenue, Bismarck, ND 58501 | 2013-01-25 |
| 1922231950 | James Anthony Knopik | Counselor | 905 East Interstate Ave., New Freedom Center, Inc., Bismarck, ND 58503 | 2009-08-25 |
| 1093906414 | Lynette Adele Rasmusson | Counselor | 1720 Burnt Boat Dr, Suite 200, Bismarck, ND 58503-0801 | 2007-08-09 |
| Find all providers in BISMARCK | ||||
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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.