Mrs Mary Ann Roth, LPC in Baraboo, WI - Counselor

Mrs Mary Ann Roth, LPC is a Counselor - Professional based in Baraboo, Wisconsin. Mrs Mary Ann Roth is licensed to practice in North Carolina (license number 2800) and her current practice location is E12155 Side Rd, Baraboo, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 209-4480.

NPI number for Mrs Mary Ann Roth is 1033300017 and her current mailing address is E12155 Side Rd, Baraboo, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033300017.

Contact Information

	Mrs Mary Ann Roth, LPC
	E12155 Side Rd, Baraboo, WI 53913-9752
	(608) 209-4480
	(608) 355-0527

Healthcare Provider's Profile

Full Name	Mrs Mary Ann Roth
Gender	Female
Speciality	Counselor - Professional
Location	E12155 Side Rd, Baraboo, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1033300017
Provider Enumeration Date: 08/06/2007
Last Update Date: 08/06/2007

Medical Identifiers

Medical identifiers for Mrs Mary Ann Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033300017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2800 (North Carolina)	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. Mrs Mary Ann 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
Mrs Mary Ann Roth, LPC E12155 Side Rd, Baraboo, WI 53913-9752 Ph: (608) 209-4480	Mrs Mary Ann Roth, LPC E12155 Side Rd, Baraboo, WI 53913-9752 Ph: (608) 209-4480

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Counselor in Baraboo, WI

Jennifer Stuber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200
Joseph White Eagle Sr., SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-355-9588
Ms. Jennifer Ann Linderud, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Broadway St, Baraboo, WI 53913 Phone: 608-402-4312 Fax: 608-355-0459
Judy A Hannaford, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Jefferson St, Baraboo, WI 53913 Phone: 608-356-1533
Dawn L Heckenkamp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Elizabeth St, Baraboo, WI 53913 Phone: 608-477-9858 Fax: 877-560-0578
Erin Robbins, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 4th St, Baraboo, WI 53913 Phone: 608-355-0551

Mrs Mary Ann Roth, LPC - Counselor in Baraboo, WI