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IDIT ROTH MFT
NPI 1912286766
Marriage & Family Therapist in Agoura Hills, CA

Active since August 11, 2011PECOS Enrolled
30497 CANWOOD ST, SUITE 103, AGOURA HILLS, CA 91301(818) 597-2617 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idit Roth Mft NPPES

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

IDIT ROTH MFT (NPI 1912286766) is an individual marriage & family therapist in Agoura Hills, California, licensed in California (36086) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912286766
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameIDIT ROTHCredential: MFT
Location Address30497 CANWOOD ST, SUITE 103Agoura Hills, CA 91301-4330
Mailing Address30497 Canwood St, Suite 103Agoura Hills, CA 91301-4330 · (818) 597-2617
Phone(818) 597-2617
Sole ProprietorYes
Enumeration DateAugust 11, 2011
✔ NPI 1912286766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 36086
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
30497 CANWOOD ST, Agoura Hills, CA 91301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idit Roth Mft 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 5

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

LAYA M. TAMAR M.S.W
Social Worker (Clinical)
30497 CANWOOD ST
AGOURA HILLS, CA 91301
Los Angeles County (805) 496-2455
MRS. GIL KATZ-GOLDSTEIN MA, LMFT
Counselor (Mental Health)
30497 CANWOOD ST
AGOURA HILLS, CA 91301
Los Angeles County (408) 761-4258
MRS. SLOANE FABRICIUS LMFT
Marriage & Family Therapist
30497 CANWOOD ST, SUITE 103
AGOURA HILLS, CA 91301
Los Angeles County (805) 558-3871
JUDITH A. WIENER L.C.S.W., L.M.F.T.
Social Worker (Clinical)
30497 CANWOOD ST, SUITE 103
AGOURA HILLS, CA 91301
Los Angeles County (818) 706-0140
MS. ALISON CARLTON CAMHI M.A.; LMFT
Marriage & Family Therapist
30497 CANWOOD ST, SUITE NUMBER 103
AGOURA HILLS, CA 91301
Los Angeles County (818) 917-4346

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 Idit Roth's NPI number?

The NPI number for Idit Roth is 1912286766. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Idit Roth located?

Idit Roth practices at 30497 Canwood St Suite 103, Agoura Hills, CA 91301. The listed phone number is (818) 597-2617.

What is Idit Roth's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Idit Roth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Idit Roth was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.