RAVEN ALEXIS ROTH MA, LPC, LAC
NPI 1114529294
Counselor - Professional in Wheat Ridge, CO
About Raven Alexis Roth Ma, Lpc, Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN ALEXIS ROTH MA, LPC, LAC (NPI 1114529294) is an individual professional provider in Wheat Ridge, Colorado, licensed in Colorado (LPC.0016845) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
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
Raven Alexis Roth Ma, Lpc, Lac 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.
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.
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
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 Raven Roth's NPI number?
The NPI number for Raven Roth is 1114529294. It was assigned to this individual provider in the NPPES registry on November 12, 2020.
Where is Raven Roth located?
Raven Roth practices at 4350 Wadsworth Blvd Ste 250, Wheat Ridge, CO 80033. The listed phone number is (970) 310-3406.
What is Raven Roth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Raven Roth enrolled in Medicare?
Yes. Raven 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 Raven Roth accept?
Health plans from Providence Health Plan list Raven 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 Raven Roth was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Raven Alexis Roth, MA, LPC, LAC · NPI 1114529294
Professional provider in Wheat Ridge, Colorado. Individual provider, active in the CMS NPPES registry since November 12, 2020.
## Identity
- **NPI:** 1114529294 (Entity type: Individual)
- **Enumerated:** November 12, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.0016845 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4350 WADSWORTH BLVD STE 250, Wheat Ridge, CO 80033-4653
- **Phone:** (970) 310-3406
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114529294) · Data from the CMS NPPES public registry.