JUSTIN ROTH (NPI# 1316410202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316410202 |
| Entity Type | Individual |
| Full Name | JUSTIN ROTH |
| Practice Address |
246 S Chestnut St Ravenna OH 44266-3055 |
| Practice Telephone | 3302989391 |
| Mailing Telephone | 3302989391 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
167987 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699397687 | Justin Nicholas Roth | Chiropractor | 21450 Highway 32 Ste A, Sainte Genevieve, MO 63670-8814 | 2020-05-12 |
| 1518490929 | Justin Roth | Pharmacist | 10010 Campus Point Dr # An102, San Diego, CA 92121-1518 | 2017-04-04 |
| 1306109954 | Justin Stephan Roth | Orthopaedic Surgery | 4625 Lindell Blvd, Suite 420, St. Louis, MO 63108-3927 | 2012-06-19 |
| 1104065515 | Justin Roth | Chiropractor | 82 Wolcott Hill Rd, Wethersfield, CT 06109-1243 | 2009-02-09 |
| 1790096626 | Justin Michael Roth | Social Worker | 550 N Reo St, Suite 300, Tampa, FL 33609-1061 | 2010-06-25 |
| 1104827930 | Justin Lee Roth | Dentist | 5929 Constitution Ave, Colorado Springs, CO 80915-1211 | 2005-08-02 |
| Street Address |
246 S CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417090 | Cheryl K Roth | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2017-06-20 |
| 1760985014 | Daniel Craig Patz | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1811417090 | Cheryl K Roth | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2017-06-20 |
| 1710452057 | Sherman Cornell Moore Sr. | Counselor | 6693 N Chestnut St, Ravenna, OH 44266-3922 | 2018-10-12 |
| 1043761059 | Jason Sheller | Counselor | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2016-10-14 |
| 1982764247 | Cynthia Wernig Parry | Counselor | 109 E Main St, Ravenna, OH 44266-3101 | 2006-12-09 |
| 1760450563 | Compass Recovery Center, LLC | Counselor | 109 E Main St, Ravenna, OH 44266-3101 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.