NICOLE ROTH LPC, LPCC, LPC-MH
NPI 1073944849
Counselor - Professional in Sioux Falls, SD
NPI Status: Active since December 04, 2013
Contact Information
3922 S WESTERN AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 610-5567
Fax: (307) 688-5015
- Individual
- Female
- Years of Experience 14
- Counselor
- Professional
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About NICOLE ROTH
This page provides the complete NPI Profile along with additional information for Nicole Roth, a provider established in Sioux Falls, South Dakota with a medical specialization in Counselor, focusing in professional and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1073944849 assigned on December 2013. The practitioner's primary taxonomy code is 101YP2500X with license number CC02548 (MN). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1073944849
- Provider Name
- NICOLE ROTH LPC, LPCC, LPC-MH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3922 S WESTERN AVE SIOUX FALLS, SD 57105
- Location Phone
- (605) 610-5567
- Location Fax
- (307) 688-5015
- Mailing Address
- 3922 S WESTERN AVE SIOUX FALLS, SD 57105
- Mailing Phone
- (605) 610-5567
- Mailing Fax
- (307) 688-5015
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-04-2013
- Last Update Date
- 06-26-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CC02548
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | PPC-660 (WY) |
| 2 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | CC02548 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicole Roth is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Nicole Roth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 345762829
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250313004089
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for NICOLE ROTH LPC, LPCC, LPC-MH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 9 | 4 | 4 | 8 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 18 | 4 | 8 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 8 + 4 + 8 + 8 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1073944849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841077153 | GRACEFUL COUNSELING LLC Organization | Counselor (Mental Health) | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 (605) 549-1200 |
| 1962288415 | JULIA GRACE LARSON MS, LPC-MH, LAC Individual | Counselor (Mental Health) | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 (605) 549-1200 |
| 1356917298 | LINKING THE GAP COUNSELING LLC Organization | Counselor (Professional) | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 (605) 610-5567 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073944849, enumerated in the NPI registry as an "individual" on December 04, 2013
The provider is located at 3922 S Western Ave Sioux Falls, Sd 57105 and the phone number is (605) 610-5567
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 14 years of experience.
The provider might be accepting Accepts: Avera Health Plans, Sanford Health Plan, Wellmark. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on December 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.