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NICOLE ROTH LPC, LPCC, LPC-MH
NPI 1073944849
Counselor - Professional in Sioux Falls, SD

Active since December 04, 2013PECOS EnrolledAccepts Medicare Assignment
3922 S WESTERN AVE, SIOUX FALLS, SD 57105(605) 610-5567(307) 688-5015 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Jun 6, 2025 (2 updates tracked since 2025).

About Nicole Roth Lpc, Lpcc, Lpc-mh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ROTH LPC, LPCC, LPC-MH (NPI 1073944849) is an individual professional provider in Sioux Falls, South Dakota, licensed in Minnesota (CC02548) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073944849
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE ROTHCredential: LPC, LPCC, LPC-MH
Location Address3922 S WESTERN AVESioux Falls, SD 57105-6513
Mailing Address3922 S Western AveSioux Falls, SD 57105-6513 · (605) 610-5567 · Fax (307) 688-5015
Phone(605) 610-5567
Fax(307) 688-5015
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 4, 2013
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1073944849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02548
Also ListedCounselorTaxonomy 101Y00000X · License PPC-660 (WY), CC02548 (MN)
3922 S WESTERN AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Roth Lpc, Lpcc, Lpc-mh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345762829
PECOS Enrollment IDI20250313004089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINKING THE GAP COUNSELING LLC
Counselor (Professional)
3922 S WESTERN AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 610-5567
GRACEFUL COUNSELING LLC
Counselor (Mental Health)
3922 S WESTERN AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 549-1200
JULIA GRACE LARSON MS, LPC-MH, LAC
Counselor (Mental Health)
3922 S WESTERN AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 549-1200
AMANDA K BOER
Social Worker (Clinical)
3922 S WESTERN AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 215-1246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Roth's NPI number?

The NPI number for Nicole Roth is 1073944849. It was assigned to this individual provider in the NPPES registry on December 4, 2013.

Where is Nicole Roth located?

Nicole Roth practices at 3922 S Western Ave, Sioux Falls, SD 57105. The listed phone number is (605) 610-5567.

What is Nicole Roth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Roth enrolled in Medicare?

Yes. Nicole Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Roth accept?

Health plans from Avera Health Plans and Sanford Health Plan list Nicole Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Roth was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.