Individual provider · Type 1 NPI

Jonathan Roth, LMHC

Mental Health Counselor · Ithaca, NY

NPI number 1366565913 Active

Practice location

309 N Aurora St Ste 4
Ithaca, NY 14850-4230

Call (415) 564-5117 Map

Fax (607) 327-5514

Mailing address

PO Box 6632
Ithaca, NY 14851-6632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005266 (NY)
Marriage & Family Therapist 106H00000X86401 (CA)

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About NPI 1366565913

Jonathan Roth, LMHC's National Provider Identifier is 1366565913, issued on Apr 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Oct 7, 2026.