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

Jonathan Roth

Individual provider Marriage & Family Therapist · NPI 1366565913

Jonathan Roth is a Marriage & Family Therapist in Ithaca, New York. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

122 W Court St
Ithaca, NY 14850
Phone: (607) 275-5965
Show map & directions

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

Additional practice locations (1)

  • 815 Hyde St, San Francisco, CA 94109-5996 — (415) 673-5700

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005266 (NY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 86401 (CA)

Record details

NPI number1366565913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESSeptember 4, 2018
Mailing addressPo Box 6632, Ithaca, NY 14851-6632

Other providers in Ithaca