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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: October 25, 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 Sanford Health Plan, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Linking The Gap Counseling LLC
Same address
Professional
3922 S WESTERN AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 2 clinicians in this Medicare group
NPI 1356917298 (605) 610-5567

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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
ANNIKA MARY MARLENE ALLEN MA, NCC
Counselor
3922 S WESTERN AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 951-7077
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.

Which organization bills Medicare for Nicole Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Roth reassigns Medicare benefits to Linking The Gap Counseling LLC (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Roth accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.