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JEANA L ROTH MA, LPC
NPI 1629682612
Counselor - Mental Health in Urbana, IL

Active since September 07, 2020PECOS Enrolled
1503 MONTGOMERY ST, URBANA, IL 61802(636) 489-4822 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Sep 7, 2020 (2 updates tracked since 2020).

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

NPI1629682612
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANA L ROTHCredential: MA, LPC
Location Address1503 MONTGOMERY STUrbana, IL 61802-4742
Mailing Address4171 Crescent Dr Ste 202Saint Louis, MO 63129-3645 · (636) 489-4822
Phone(636) 489-4822
Sole ProprietorNo
Enumeration DateSeptember 7, 2020
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1629682612 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 · License 2018139123 (MO)
1503 MONTGOMERY ST, Urbana, IL 61802
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Secondary Practice Location 1

Location 14171 Crescent Dr Ste 202Saint Louis, MO 63129-3645 · Phone (636) 489-4822

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeana L Roth Ma, Lpc 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.

Other Providers at the Same Location NPPES

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

REST FOR THE WEARY COUNSELING AND CONSULTING LLC
Counselor (Mental Health)
1503 MONTGOMERY ST
URBANA, IL 61802
Champaign County (636) 489-4822

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.

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 22 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.