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

Kimberly Lynn Roth, MA

Individual provider Counselor · NPI 1942323100

Kimberly Lynn Roth, MA is a Mental Health Counselor in Athens, Georgia. Qualified in 2004, 22 years ago. Practices with North Point Lighthouse Counseling, LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

745 S Milledge Ave Ste 1A
Athens, GA 30605-1292
Phone: (706) 498-9560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3584 Atlanta Highway, Flowery Branch, GA 30542 — (770) 535-1050

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC004836 (GA)
Counselor Taxonomy 101Y00000X · Licence LPC004836 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LPC004836 (GA)

Record details

NPI number1942323100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice North Point Lighthouse Counseling, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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