Active NPIIndividual providerSole proprietor

Nicole Rooth, NCC, LPC, LCADC

Counselor, Mental Health in Perth Amboy, New Jersey

NPI Number1023577533
Practice location
187 Fayette St, Perth Amboy, NJ 08861-4140
Fax
—
Last updated
March 14, 2019

Nicole Rooth is a Counselor, Mental Health based in Perth Amboy, NJ. Nicole Rooth practices in Perth Amboy, NJ and has the professional credentials of NCC, LPC, LCADC. The NPI Number for Nicole Rooth is 1023577533 and holds a License No. 37LC00262400 (NJ). The current practice location address for Nicole Rooth is 187 Fayette St, Perth Amboy, NJ 08861-4140 and can be reached out via phone at 732-410-7102.

Provider Profile Details

NPI Number
1023577533
Provider Name
Nicole Rooth
Credential
NCC, LPC, LCADC
Provider Entity Type
Individual
Gender
Female
Address
187 Fayette St, Perth Amboy, NJ 08861-4140
Phone Number
732-410-7102
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 14, 2019
Last Update Date
March 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Fayette St
Perth Amboy, NJ 08861-4140
Zip
08861-4140
Phone Number
732-410-7102
Perth Amboy, NJ 08861Get directions →

Provider Business Mailing Address Details

Address
17 W 31ST St
Bayonne, NJ 07002-3903
City
Bayonne
State
NJ
Zip
07002-3903
Phone Number
201-315-2746

License Information

License Number (1)
37LC00262400
License State (1)
NJ
License Number (2)
37PC00587600
License State (2)
NJ
Taxonomy (2)
Counselor, Professional · 101YP2500X
License Number (3)
37PC00587600
License State (3)
NJ
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Rooth, NCC, LPC, LCADC?

The NPI number of Nicole Rooth, NCC, LPC, LCADC is 1023577533. It was assigned on March 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicole Rooth, NCC, LPC, LCADC?

Nicole Rooth, NCC, LPC, LCADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37LC00262400.

Where does Nicole Rooth, NCC, LPC, LCADC practice?

The practice location is 187 Fayette St, Perth Amboy, NJ 08861-4140. The office can be reached at 732-410-7102 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023577533 directly on the NPPES registry website.

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