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

Jennifer Roth, MSW

Individual provider Mental Health Counselor · NPI 1104247840

Jennifer Roth, MSW is an Occupational Therapist in Private Practice in Boulder, Colorado. Qualified in 1987, 39 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1333 Iris Ave
Boulder, CO 80304-2226
Phone: (303) 443-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT22592 (FL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104247840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedDecember 24, 2013
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address1333 Iris Ave, Boulder, CO 80304-2226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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