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AMANDA COLLEEN ROTH
NPI 1861032724
Counselor - Professional in Cody, WY

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment
956 12TH ST, CODY, WY 82414(307) 751-5111(307) 587-4014 Get Directions Write a Review

NPPES record last updated: January 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2023, Jan 4, 2023, Jan 8, 2020 (3 updates tracked since 2020).

About Amanda Colleen Roth NPPES

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

AMANDA COLLEEN ROTH (NPI 1861032724) is an individual professional provider in Cody, Wyoming, licensed in Wyoming (LPC-2124) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cody, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861032724
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA COLLEEN ROTH
Location Address956 12TH STCody, WY 82414-3602
Mailing Address326 34th StCody, WY 82414-9271 · (307) 751-5111
Phone(307) 751-5111
Fax(307) 587-4014
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJanuary 21, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2023
✔ NPI 1861032724 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 WY · LPC-2124
956 12TH ST, Cody, WY 82414
Open in Google Maps ↗

Secondary Practice Location 1

Location 12538 Big Horn AveCody, WY 82414-9299 · Phone (307) 587-2197

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, 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

Amanda Colleen Roth 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 ID1658718960
PECOS Enrollment IDI20240322000434
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 5

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

AMANDA ROTH, LLC
Counselor (Mental Health)
956 12TH ST
CODY, WY 82414
Park County (307) 751-5111
JASEN J LIVERMORE LPC
Counselor (Professional)
956 12TH ST
CODY, WY 82414
Park County (307) 355-9266
ROCKY MOUNTAIN FAMILY DENTAL
Dentist
956 12TH ST
CODY, WY 82414
Park County (307) 587-5588
ZION MOUNTAINS
Counselor (Professional)
956 12TH ST
CODY, WY 82414
Park County (307) 355-9266
OPEN SPACE COUNSELING SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
956 12TH ST
CODY, WY 82414
Park County (307) 272-2534

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 Amanda Roth's NPI number?

The NPI number for Amanda Roth is 1861032724. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Amanda Roth located?

Amanda Roth practices at 956 12th St, Cody, WY 82414. The listed phone number is (307) 751-5111.

What is Amanda Roth's specialty?

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

Is Amanda Roth enrolled in Medicare?

Yes. Amanda 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 Amanda Roth accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Amanda 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 Amanda Roth was last updated on January 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.