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

Samantha Sara Roth

Individual provider Peer Specialist · NPI 1770191553

Samantha Sara Roth is a Peer Specialist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (013) 734-7608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (UT)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1770191553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2020
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

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