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

Individual provider Mental Health Counselor · NPI 1760837470

Mitchell Roth, MS, JD, PSYD is a Mental Health Counselor in Boynton Beach, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

11905 Mont Lake Dr
Boynton Beach, FL 33437-4918
Phone: (561) 740-5642
Fax: (561) 634-2862
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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 MH 14604 (FL)

Record details

NPI number1760837470
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , JD , PSYD
Sole proprietorYes
NPI enumeratedMay 1, 2016
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address11905 Mont Lake Dr, Boynton Beach, FL 33437-4918

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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