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KYLIE ROTH
NPI 1639720477
Counselor in Portland, OR

Active since September 23, 2019
14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie Roth NPPES

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

KYLIE ROTH (NPI 1639720477) is an individual counselor in Portland, Oregon and active in the NPI registry since September 2019. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1639720477
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKYLIE ROTH
Location Address14600 NW CORNELL RDPortland, OR 97229-5442
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442
Phone(503) 645-3581
Sole ProprietorNo
Enumeration DateSeptember 23, 2019
✔ NPI 1639720477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14600 NW CORNELL RD, Portland, OR 97229
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Secondary Practice Location 1

Location 110700 SW Beaverton Hillsdale Hwy Bldg 1Beaverton, OR 97005-3019 · Phone (503) 641-1475

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.

MS. LUCRECIA FARIAS
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. SANDRA GAIL BUMPUS MSW
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-2545
MEGAN MARSHALL MA, LPCI
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
MS. DEBORAH CHRISTINE CASE
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
ABRAHAN VEGA QMHP
Counselor
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
RADIANCE ANN SCHROETER
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JAMES GURULE LPC
Counselor (Professional)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581
JENNIFER LYNN KELLY MA
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 645-3581

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 Kylie Roth's NPI number?

The NPI number for Kylie Roth is 1639720477. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Kylie Roth located?

Kylie Roth practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.

What is Kylie Roth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kylie Roth was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.