Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jonathan Roth, LMHC

Individual provider Mental Health Counselor · NPI 1366565913

Jonathan Roth, LMHC is a Mental Health Counselor in Ithaca, New York. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

309 N Aurora St Ste 4
Ithaca, NY 14850-4230
Phone: (415) 564-5117
Fax: (607) 327-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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
Credentials LMHC
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESOctober 7, 2026
Certification dateOctober 7, 2026

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