1. Home
  2. Directory
  3. New York
  4. Ithaca
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN ROTH LMHC
NPI 1366565913
Counselor - Mental Health in Ithaca, NY

Active since April 09, 2007PECOS Enrolled
309 N AURORA ST STE 4, ITHACA, NY 14850(415) 564-5117(607) 327-5514 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Sep 4, 2018 (2 updates tracked since 2018).

About Jonathan Roth Lmhc NPPES

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

JONATHAN ROTH LMHC (NPI 1366565913) is an individual mental health provider in Ithaca, New York, licensed in New York (005266) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366565913
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN ROTHCredential: LMHC
Location Address309 N AURORA ST STE 4Ithaca, NY 14850-4230
Mailing AddressPo Box 6632Ithaca, NY 14851-6632 · (415) 564-5117
Phone(415) 564-5117
Fax(607) 327-5514
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1366565913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 005266
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 86401 (CA)
309 N AURORA ST STE 4, Ithaca, NY 14850
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Roth Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jonathan Roth's NPI number?

The NPI number for Jonathan Roth is 1366565913. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jonathan Roth located?

Jonathan Roth practices at 309 N Aurora St Ste 4, Ithaca, NY 14850. The listed phone number is (415) 564-5117.

What is Jonathan Roth's specialty?

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

Is Jonathan Roth enrolled in Medicare?

Yes. Jonathan Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Roth was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.