REBECCA ROTH MA, RCI
NPI 1104371293
Counselor - Mental Health in Boise, ID

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment
7711 W RIVERSIDE DR, BOISE, ID 83714(208) 853-8536 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca Roth Ma, Rci NPPES

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

REBECCA ROTH MA, RCI (NPI 1104371293) is an individual mental health provider in Boise, Idaho, licensed in Idaho (COUI-6033) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104371293
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA ROTHCredential: MA, RCI
Location Address7711 W RIVERSIDE DRBoise, ID 83714-6182
Mailing Address7711 W Riverside DrBoise, ID 83714-6182 · (208) 853-8536
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 18, 2016
NPI 1104371293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · COUI-6033
7711 W RIVERSIDE DR, Boise, ID 83714

Other Names 1

Former Name (1)Rebecca Hall

Accepted 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

Rebecca Roth Ma, Rci 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 ID4183076441
PECOS Enrollment IDI20240123000874
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 14

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

Social Worker (Clinical)
7711 W RIVERSIDE DR
BOISE, ID 83714
Community/Behavioral Health
7711 W RIVERSIDE DR
BOISE, ID 83714
Social Worker (Clinical)
7711 W RIVERSIDE DR
BOISE, ID 83714
Social Worker
7711 W RIVERSIDE DR
BOISE, ID 83714
Social Worker
7711 W RIVERSIDE DR
BOISE, ID 83714
Physical Therapist
7711 W RIVERSIDE DR
BOISE, ID 83714
Social Worker (Clinical)
7711 W RIVERSIDE DR
BOISE, ID 83714
Psychologist (School)
7711 W RIVERSIDE DR
BOISE, ID 83714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104371293, enumerated as an "individual" on August 18, 2016.

The provider is located at 7711 W RIVERSIDE DR BOISE, ID 83714 and the phone number is (208) 853-8536.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.