AMANDA COLLEEN ROTH (NPI# 1861032724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861032724 |
| Entity Type | Individual |
| Full Name | AMANDA COLLEEN ROTH |
| Practice Address |
2538 Big Horn Ave Cody WY 82414-9299 |
| Mailing Address |
326 34th St Cody WY 82414-9271 |
| Practice Telephone | 3075872197 |
| Mailing Telephone | 3077515111 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902261001 | Amanda Roth | Social Worker | 4526 Federal Ave Bldg I, Everett, WA 98203-2132 | 2015-12-16 |
| 1205444882 | Amanda Roth | Physical Therapist | 505 Irvin Ct Ste 101, Decatur, GA 30030-1780 | 2020-07-20 |
| 1437783289 | Amanda Roth | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-03-02 |
| 1699330340 | Amanda Roth | Student in an Organized Health Care Education/Training Program | 22 S Greene St, Baltimore, MD 21201-1590 | 2019-05-08 |
| 1801364690 | Amanda Roth | Behavioral Analyst | 170 Pheasant Run, Newtown, PA 18940-1877 | 2018-11-09 |
| 1306321989 | Amanda Elizabeth Roth | Physical Therapist | 411 Mass Ave Ste 302, Acton, MA 01720-3739 | 2018-09-28 |
| 1932560042 | Amanda Michelle Salomon Roth | Pharmacist | 6 Willard Rd, Norwalk, CT 06851-4414 | 2016-03-16 |
| 1265702484 | Amanda Kathleen Roth | Social Worker | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2012-01-04 |
| 1780907105 | Amanda Nichole Roth | Pharmacy Technician | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-12 |
| 1124140157 | Amanda Marie Roth | Pharmacy Technician | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2007-04-03 |
| Street Address |
2538 BIG HORN AVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-9299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326528 | Kirsten Pauline Hendershot | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2006-05-22 |
| 1457975500 | Linda F Rogers | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2020-06-04 |
| 1932722600 | John David Poeverlein | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2020-05-28 |
| 1740828060 | Amber Reynolds | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-12-17 |
| 1275184335 | Brandy Michelle Kellams | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-09-20 |
| 1972165009 | Lindsey Jo Loughran | Social Worker | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-06-28 |
| 1194217042 | Tiffany Gerhardt | Registered Nurse | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2018-06-05 |
| 1306356563 | Johnathon Daniel | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2017-10-02 |
| 1972045268 | Sarah Schrickling | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2016-11-17 |
| 1053762849 | Therese Vangilder | Case Manager/Care Coordinator | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2016-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432477 | Alexander Rettinghouse | Counselor | 337 Robert St, Cody, WY 82414-9268 | 2020-06-22 |
| 1689853491 | Jessica Leigh Erickson | Counselor | 147 Cooper Ln E, Cody, WY 82414-9233 | 2007-10-29 |
| 1023144201 | Gateway Counseling Center | Counselor | 1102 Beck Ave, Cody, WY 82414-3624 | 2007-02-24 |
| 1457975500 | Linda F Rogers | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2020-06-04 |
| 1932683869 | Lauren S Thompson | Counselor | 707 Sheridan Ave, Cody, WY 82414-3409 | 2018-09-17 |
| 1336518679 | Brenda Kaylor | Counselor | 137 Belfry Hwy, Cody, WY 82414-9524 | 2015-09-16 |
| 1407236060 | Alliance Christian Counseling, LLC | Counselor | 147 Cooper Ln E, Cody, WY 82414-9233 | 2015-06-08 |
| 1013321066 | Ashley Fauber | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2014-06-18 |
| 1013341262 | Pamela Jaye Sinclair | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2013-08-23 |
| 1255770731 | Kambrie Simmons | Counselor | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2013-06-18 |
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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.