AMY ROTH BA
NPI 1225328891
Counselor - Mental Health in Penndel, PA

Q: What is Amy Roth's NPI number?

The NPI number for Amy Roth is 1225328891. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Amy Roth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amy Roth was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment

1517 DURHAM RD, PENNDEL, PA 19047(215) 752-1541(215) 752-2848 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Roth Ba NPPES

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

AMY ROTH BA (NPI 1225328891) is an individual mental health provider in Penndel, Pennsylvania and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225328891

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMY ROTHCredential: BA

Location Address1517 DURHAM RDPenndel, PA 19047-5707

Mailing Address1723 Woodbourne Rd, Suite A-110Levittown, PA 19057-1510 · (267) 587-2310 · Fax (267) 587-2305

Phone(215) 752-1541

Fax(215) 752-2848

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 15, 2011

✔ NPI 1225328891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1517 DURHAM RD, Penndel, PA 19047

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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

Amy Roth Ba 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 ID4385974419

PECOS Enrollment IDI20191002002314

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 20

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

EDWARD DONAHUE

Counselor (Mental Health)