Nicole Roth, LPC, LPCC, LPC-MH in Sioux Falls, SD

Nicole Roth, LPC, LPCC, LPC-MH is a medicare enrolled "Counselor - Professional" provider in Sioux Falls, South Dakota. Her current practice location is 3922 S Western Ave, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 610-5567.

Nicole Roth is licensed to practice in Minnesota (license number CC02548) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073944849.

Contact Information

	Nicole Roth, LPC, LPCC, LPC-MH
	3922 S Western Ave, Sioux Falls, SD 57105-6513
	(605) 610-5567
	(307) 688-5015

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Roth
Gender	Female
Speciality	Counselor - Professional
Location	3922 S Western Ave, Sioux Falls, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073944849
Provider Enumeration Date: 12/04/2013
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 0345762829
Enrollment ID: I20250313004089

Medical Identifiers

Medical identifiers for Nicole Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073944849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	PPC-660 (Wyoming)	Secondary
101Y00000X	Counselor	CC02548 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	CC02548 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Roth allows following entities to bill medicare on her behalf.

Entity Name	Linking The Gap Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356917298 PECOS PAC ID: 0547782120 Enrollment ID: O20250324002817

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. Nicole Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Roth, LPC, LPCC, LPC-MH 3922 S Western Ave, Sioux Falls, SD 57105-6513 Ph: (605) 610-5567	Nicole Roth, LPC, LPCC, LPC-MH 3922 S Western Ave, Sioux Falls, SD 57105-6513 Ph: (605) 610-5567

Reviews and Comments

Counselor in Sioux Falls, SD

Susan Lynn Schmeichel Harder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4079 Fax: 605-322-4080
Charles Deridder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105 Phone: 605-336-3230 Fax: 605-977-4405
Sam Booth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696
Emily Lynn Lake, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 S Louise Ave Ste 201, Sioux Falls, SD 57106 Phone: 605-334-7713
Mr. Victor Vincent Bien, MA, NCC, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Brown Pl, Sioux Falls, SD 57105 Phone: 605-336-1974
Alyssa Sommer Mendel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 310 S 1st Ave, Sioux Falls, SD 57104 Phone: 605-275-1328
Kristi Miller, MS LPC MS QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 W 25th St, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944

Nicole Roth, LPC, LPCC, LPC-MH - Medicare Counselor in Sioux Falls, SD