MR. BRANDON J ROTH LPC
NPI 1740925833
Counselor - Professional in Fort Collins, CO

Active since May 03, 2022PECOS Enrolled
306 BOWLINE CT, FORT COLLINS, CO 80525(208) 317-5875 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, May 3, 2022 (2 updates tracked since 2022).

About Mr. Brandon J Roth Lpc NPPES

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

MR. BRANDON J ROTH LPC (NPI 1740925833) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0018181) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Collins.

NPPES Registry Identity

NPI1740925833
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRANDON J ROTHCredential: LPC
Location Address306 BOWLINE CTFort Collins, CO 80525-3116
Mailing Address306 Bowline CtFort Collins, CO 80525-3116 · (208) 317-5875
Sole ProprietorNo
Enumeration DateMay 3, 2022
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1740925833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0018181
306 BOWLINE CT, Fort Collins, CO 80525

Secondary Practice Location 1

Location 14856 Innovation DrFort Collins, CO 80525-5539 · Phone (970) 494-4200 · Fax (844) 270-1824

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brandon J Roth 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.

Counselor (Professional)
306 BOWLINE CT
FORT COLLINS, CO 80525

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 Brandon Roth's NPI number?

The NPI number for Brandon Roth is 1740925833. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Brandon Roth located?

Brandon Roth practices at 306 Bowline Ct, Fort Collins, CO 80525. The listed phone number is (208) 317-5875.

What is Brandon Roth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brandon Roth enrolled in Medicare?

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

What insurance does Brandon Roth accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Brandon 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 Brandon Roth was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.