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MITCHELL ROTH M.S, J.D., PSYD
NPI 1760837470
Counselor - Mental Health in Boynton Beach, FL

Active since May 01, 2016PECOS EnrolledAccepts Medicare Assignment
11905 MONT LAKE DR, BOYNTON BEACH, FL 33437(561) 740-5642(561) 634-2862 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Sep 9, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About Mitchell Roth M.s, J.d., Psyd NPPES

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

MITCHELL ROTH M.S, J.D., PSYD (NPI 1760837470) is an individual mental health provider in Boynton Beach, Florida, licensed in Florida (MH 14604) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760837470
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMITCHELL ROTHCredential: M.S, J.D., PSYD
Location Address11905 MONT LAKE DRBoynton Beach, FL 33437-4918
Mailing Address11905 Mont Lake DrBoynton Beach, FL 33437-4918 · (561) 740-5642 · Fax (561) 634-2862
Phone(561) 740-5642
Fax(561) 634-2862
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 1, 2016
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1760837470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH 14604
11905 MONT LAKE DR, Boynton Beach, FL 33437
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Other Identifiers 1

OtherMH 14604FL · Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchell Roth M.s, J.d., Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163866427
PECOS Enrollment IDI20240215000734
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.

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 Mitchell Roth's NPI number?

The NPI number for Mitchell Roth is 1760837470. It was assigned to this individual provider in the NPPES registry on May 1, 2016.

Where is Mitchell Roth located?

Mitchell Roth practices at 11905 Mont Lake Dr, Boynton Beach, FL 33437. The listed phone number is (561) 740-5642.

What is Mitchell Roth's specialty?

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

Is Mitchell Roth enrolled in Medicare?

Yes. Mitchell Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mitchell Roth accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Mitchell 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 Mitchell Roth was last updated on February 5, 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.