KRISTIN ROTH
NPI 1437815446
Counselor - Mental Health in Waukesha, WI

Active since November 14, 2021Opted out of Medicare · through Sep 3, 2026
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188(262) 313-8339 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2023, Nov 14, 2021 (2 updates tracked since 2021).

About Kristin Roth NPPES

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

KRISTIN ROTH (NPI 1437815446) is an individual mental health provider in Waukesha, Wisconsin and active in the NPI registry since November 2021. She has opted out of Medicare through September 3, 2026 and maintains a secondary practice location in Oconomowoc.

NPPES Registry Identity

NPI1437815446
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN ROTH
Location Address2607 N GRANDVIEW BLVD STE 110Waukesha, WI 53188-1690
Mailing Address725 W Freshwater Way Apt 402Milwaukee, WI 53204-4123
Sole ProprietorYes
Enumeration DateNovember 14, 2021
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1437815446 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
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
2607 N GRANDVIEW BLVD STE 110, Waukesha, WI 53188

Secondary Practice Location 1

Location 1405 E Forest St Ste 119Oconomowoc, WI 53066-3707 · Phone (262) 269-3282

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristin Roth has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2024 through September 3, 2026.

Opt-Out Effective DateSeptember 3, 2024
Opt-Out In Effect ThroughSeptember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Counselor (Mental Health)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Social Worker (Clinical)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Social Worker (Clinical)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Counselor
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188

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 Kristin Roth's NPI number?

The NPI number for Kristin Roth is 1437815446. It was assigned to this individual provider in the NPPES registry on November 14, 2021.

Where is Kristin Roth located?

Kristin Roth practices at 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188. The listed phone number is (262) 313-8339.

What is Kristin Roth's specialty?

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

Is Kristin Roth enrolled in Medicare?

No. Kristin Roth has opted out of Medicare through September 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristin Roth accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Kristin 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 Kristin Roth was last updated on January 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.