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MARY ELLEN ROTH LPCC-S
NPI 1891082566
Counselor - Professional in Chardon, OH

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
695 SOUTH STREET, #6, CHARDON, OH 44024(440) 286-1553(440) 286-1318 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Ellen Roth Lpcc-s NPPES

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

MARY ELLEN ROTH LPCC-S (NPI 1891082566) is an individual professional provider in Chardon, Ohio, licensed in Ohio (E.0007784-SUPV) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891082566
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ELLEN ROTHCredential: LPCC-S
Location Address695 SOUTH STREET, #6Chardon, OH 44024
Mailing Address695 South Street, #6Chardon, OH 44024 · (440) 286-1553 · Fax (440) 286-1318
Phone(440) 286-1553
Fax(440) 286-1318
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 1, 2011
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1891082566 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 OH · E.0007784-SUPV

Accepted Insurance

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

Mary Ellen Roth Lpcc-s 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 ID3678005360
PECOS Enrollment IDI20241018003145
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 Reassignments

3

Medicare enrollment records show Mary Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coleman Professional Services, Inc.
Community/Behavioral Health
400 TUSCARAWAS ST W, SUITE 200
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1134296213 (330) 438-2400
Mm Family Circle Incorporated
Mental Health
581 BOSTON MILLS RD STE 400
Hudson, OH 44236
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1225738008 (614) 975-2520
Psychological & Behavioral Consultants, LLC
Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group
NPI 1811915713 (216) 468-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mary Roth's NPI number?

The NPI number for Mary Roth is 1891082566. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Mary Roth located?

Mary Roth practices at 695 South Street, #6, Chardon, OH 44024. The listed phone number is (440) 286-1553.

What is Mary Roth's specialty?

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

Is Mary Roth enrolled in Medicare?

Yes. Mary 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 organizations bill Medicare for Mary Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Roth reassigns Medicare benefits to 3 organizations: Coleman Professional Services, Inc. (Canton, OH), Mm Family Circle Incorporated (Hudson, OH) and Psychological & Behavioral Consultants, LLC (Beachwood, OH). Each 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 Mary Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Roth accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Mary 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 Mary Roth was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.