Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Tyler Roth

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1457078404

Anthony Tyler Roth is an Addiction (Substance Use Disorder) Counselor in Roseville, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1148 Coloma Way Apt 26-20
Roseville, CA 95661-4480
Phone: (916) 774-6647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1457078404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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