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MS. ADRIENNE THERESE ROTH PCC/LCDC
NPI 1790034114
Counselor - Mental Health in Canton, OH

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
624 MARKET AVE. N., CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Adrienne Therese Roth Pcc/lcdc NPPES

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

MS. ADRIENNE THERESE ROTH PCC/LCDC (NPI 1790034114) is an individual mental health provider in Canton, Ohio, licensed in Ohio (E.1100044) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790034114
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ADRIENNE THERESE ROTHCredential: PCC/LCDC
Location Address624 MARKET AVE. N.Canton, OH 44702-1017
Mailing Address624 Market Ave. NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761
Phone(330) 493-4553
Fax(330) 493-3761
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 30, 2012
Last NPPES UpdateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1790034114 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
License✔ Licensed in OH · E.1100044
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 702977 (OH)
624 MARKET AVE. N., Canton, OH 44702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Adrienne Therese Roth Pcc/lcdc 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 ID2769923317
PECOS Enrollment IDI20240923002010
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.

Medicare Billing Reassignment

Medicare enrollment records show Adrienne Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Rising Behavioral Healthcare And Recovery Inc
Same address
Mental Health (Including Community Mental Health Center)
624 MARKET AVE N
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
NPI 1891737292 (330) 493-4553

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 10

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

JUSTIN B MADISON PC
Counselor
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
ELIZABETH R WILSON LPN
Licensed Practical Nurse
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
MISS CHRISTINA M SCHRADER-WHITE
Counselor (Addiction (Substance Use Disorder))
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
MS. SUONNA M BLANCHARD PCC
Counselor (Mental Health)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
KACI N LAPP PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
NICOLE M WHITSEL PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
SHONDA KAYE HAYMAKER CNP
Registered Nurse (Psychiatric/Mental Health)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN J MCCOLLUM PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553

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 Adrienne Roth's NPI number?

The NPI number for Adrienne Roth is 1790034114. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Adrienne Roth located?

Adrienne Roth practices at 624 Market Ave. N., Canton, OH 44702. The listed phone number is (330) 493-4553.

What is Adrienne Roth's specialty?

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

Is Adrienne Roth enrolled in Medicare?

Yes. Adrienne 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.

Which organization bills Medicare for Adrienne Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrienne Roth reassigns Medicare benefits to Phoenix Rising Behavioral Healthcare And Recovery Inc (Canton, OH). 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 Adrienne Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrienne Roth accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and SummaCare list Adrienne 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 Adrienne Roth was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.