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

MS. Adrienne Therese Roth, PCC/LCDC

Individual provider Mental Health Counselor · NPI 1790034114

MS. Adrienne Therese Roth, PCC/LCDC is a Mental Health Counselor in Canton, Ohio. Qualified in 2007, 19 years ago. Practices with Phoenix Rising Behavioral Healthcare and Recovery, Inc, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

624 Market Ave N
Canton, OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
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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 E.1100044 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 702977 (OH)

Record details

NPI number1790034114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCC/LCDC
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Phoenix Rising Behavioral Healthcare And Recovery, Inc. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Canton