KIMBERLY LYNN ROTH M.A.
NPI 1942323100
Counselor - Professional in Athens, GA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
745 S MILLEDGE AVE STE 1A, ATHENS, GA 30605(706) 498-9560 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, Jun 28, 2017 (3 updates tracked since 2017).

About Kimberly Lynn Roth M.a. NPPES

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

KIMBERLY LYNN ROTH M.A. (NPI 1942323100) is an individual professional provider in Athens, Georgia, licensed in Georgia (LPC004836) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flowery Branch, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1942323100
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY LYNN ROTHCredential: M.A.
Location Address745 S MILLEDGE AVE STE 1AAthens, GA 30605-1292
Mailing Address3584 Atlanta HighwayFlowery Branch, GA 30542 · (770) 535-1050 · Fax (678) 943-8705
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1942323100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC004836
Also ListedCounselorTaxonomy 101Y00000X · License LPC004836 (GA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPC004836 (GA)
745 S MILLEDGE AVE STE 1A, Athens, GA 30605

Other Names 1

Former Name (1)Kimberly Lynn Leonard Lpc

Secondary Practice Location 1

Location 13584 Atlanta HighwayFlowery Branch, GA 30542 · Phone (770) 535-1050 · Fax (678) 943-8705

Accepted 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

Kimberly Lynn Roth M.a. 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 ID7911359344
PECOS Enrollment IDI20240122000871
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 11

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

Nurse Practitioner (Psychiatric/Mental Health)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Social Worker (Clinical)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Marriage & Family Therapist
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Psychiatry & Neurology (Psychiatry)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Nurse Practitioner (Psychiatric/Mental Health)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Social Worker (Clinical)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Counselor (Professional)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605
Counselor (Professional)
745 S MILLEDGE AVE STE 1A
ATHENS, GA 30605

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 Kimberly Roth's NPI number?

The NPI number for Kimberly Roth is 1942323100. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Kimberly Lynn Leonard Lpc.

Where is Kimberly Roth located?

Kimberly Roth practices at 745 S Milledge Ave Ste 1A, Athens, GA 30605. The listed phone number is (706) 498-9560.

What is Kimberly Roth's specialty?

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

Is Kimberly Roth enrolled in Medicare?

Yes. Kimberly 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 Kimberly Roth accept?

Health plans from Alliant Health Plans, Inc. list Kimberly 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 Kimberly Roth was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.