| Laura Roth, LPC | |
|
9003 Polifka Rd, Whitelaw, WI 54247-9782 | |
| (920) 403-0021 | |
| Not Available |
| Full Name | Laura Roth |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 9003 Polifka Rd, Whitelaw, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558981043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 7989 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Sheboygan | 2567568918 | 7 |
| Entity Name | County Of Sheboygan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477677615 PECOS PAC ID: 2567568918 Enrollment ID: O20080409000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Roth, LPC 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021 | Laura Roth, LPC 9003 Polifka Rd, Whitelaw, WI 54247-9782 Ph: (920) 403-0021 |
Ellen Cary, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Emily Koller Kunde, LPC-IT Counselor Medicare: Accepting Medicare Assignments Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Brielle Vanderfin, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Kathryn Heinzen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 262-707-6747 | |
Samantha Grathen, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 | |
Miss Vanessa Marie Wright-cybela, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9003 Polifka Rd, Whitelaw, WI 54247 Phone: 920-403-0021 |