Mr Dale Leon Roth, MDV DAVIS LMHP LAPC - Counselor in Columbus, NE

Mr Dale Leon Roth, MDV DAVIS LMHP LAPC is a Counselor - Mental Health based in Columbus, Nebraska. Mr Dale Leon Roth is licensed to practice in Nebraska (license number 2512) and his current practice location is 4432 Sunrise Place, Columbus, Nebraska. He can be reached at his office (for appointments etc.) via phone at (402) 564-9994.

NPI number for Mr Dale Leon Roth is 1023105756 and his current mailing address is 600 S 13th Street, Norfolk, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023105756.

Contact Information

Mr Dale Leon Roth, MDV DAVIS LMHP LAPC
4432 Sunrise Place,
Columbus, NE 68601
(402) 564-9994
(402) 562-6458

Healthcare Provider's Profile

Full NameMr Dale Leon Roth
GenderMale
SpecialityCounselor - Mental Health
Location4432 Sunrise Place, Columbus, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023105756
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Dale Leon Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023105756NPI-NPPES
97061OtherBCBS AUX
85330OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 562 (Nebraska)Primary
101YM0800XCounselor - Mental Health 2512 (Nebraska)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. Mr Dale Leon 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 AddressPractice Location Address
Mr Dale Leon Roth, MDV DAVIS LMHP LAPC
600 S 13th Street,
Norfolk, NE 68701

Ph: (402) 370-3140
Mr Dale Leon Roth, MDV DAVIS LMHP LAPC
4432 Sunrise Place,
Columbus, NE 68601

Ph: (402) 564-9994

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› Verified 9 days ago


Counselor in Columbus, NE

Sara Dewine,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3602 16th St, Columbus, NE 68601
Phone: 402-564-6622    Fax: 402-562-7239
Ms. Kim Kenyon Rech, PLMHP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4432 Sunrise Pl, Columbus, NE 68601
Phone: 402-564-9994    
Lindsey Ellyn Clarey,
Counselor
Medicare: Medicare Enrolled
Practice Location: 4214 38th St, Columbus, NE 68601
Phone: 402-564-1338    Fax: 402-564-8902
Jean K Kiuntke, PLDAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3005 19th St Ste 700, Columbus, NE 68601
Phone: 402-606-3084    
Tessa Nikole Alexander,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4432 Sunrise Pl, Columbus, NE 68601
Phone: 402-564-9994    
Javona D Jefferson, PLMHP
Counselor
Medicare: Medicare Enrolled
Practice Location: 3805 25th St, Columbus, NE 68601
Phone: 402-500-6870    Fax: 402-500-6871

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