JEANA L ROTH MA, LPC
NPI 1629682612
Counselor - Mental Health in Urbana, IL
About Jeana L Roth Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANA L ROTH MA, LPC (NPI 1629682612) is an individual mental health provider in Urbana, Illinois and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeana L Roth Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeana Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Urbana, IL 61802
- Reassigned Medicare billing, Illinois enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
URBANA, IL 61802
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 Jeana Roth's NPI number?
The NPI number for Jeana Roth is 1629682612. It was assigned to this individual provider in the NPPES registry on September 7, 2020.
Where is Jeana Roth located?
Jeana Roth practices at 1503 Montgomery St, Urbana, IL 61802. The listed phone number is (636) 489-4822.
What is Jeana Roth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeana Roth enrolled in Medicare?
Yes. Jeana Roth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeana Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeana Roth reassigns Medicare benefits to Kevin Elliott Counseling PC (Urbana, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeana Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeana Roth accept?
Health plans from Oscar Health list Jeana 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 Jeana Roth was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeana L Roth, MA, LPC · NPI 1629682612
Mental Health provider in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since September 7, 2020.
## Identity
- **NPI:** 1629682612 (Entity type: Individual)
- **Enumerated:** September 7, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1503 MONTGOMERY ST, Urbana, IL 61802-4742
- **Phone:** (636) 489-4822
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kevin Elliott Counseling PC (NPI 1255357422, Urbana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629682612) · Data from the CMS NPPES public registry.