Samantha Kristine Roth, LMHCA is a
Counselor - Mental Health based in Memphis, Indiana. Samantha Kristine Roth is licensed to practice in Indiana (license number 88002411A) and her current practice location is
15109 Silver Maple Ct, Memphis, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 207-0855.
NPI number for Samantha Kristine Roth is 1073357430 and her current mailing address is 15109 Silver Maple Ct, Memphis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073357430.
Healthcare Provider's Profile
Full Name | Samantha Kristine Roth |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 15109 Silver Maple Ct, Memphis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073357430
- Provider Enumeration Date: 06/20/2024
- Last Update Date: 06/20/2024
Medical Identifiers
Medical identifiers for Samantha Kristine Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073357430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 88002411A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Kristine Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Kristine Roth, LMHCA 15109 Silver Maple Ct, Memphis, IN 47143-9285 Ph: (812) 207-0855 | Samantha Kristine Roth, LMHCA 15109 Silver Maple Ct, Memphis, IN 47143-9285 Ph: (812) 207-0855 |
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