DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAVEN ALEXIS ROTH, MA, LPC, LAC

Active Sole Proprietor

RAVEN ALEXIS ROTH, MA, LPC, LAC is a Professional Counselor healthcare provider located in WHEAT RIDGE, Colorado. NPI 1114529294 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WHEAT RIDGE, CO

Registration Details

NPI Number
1114529294
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2020 (5.7743090335998 yrs)
Last Updated
Jun 18, 2025
Licenses
ACD.0001568 (CO)
LPC.0016845 (CO)
LPC.0016845 (CO)
Sole Proprietor
Yes

Practice Information

Address
4350 WADSWORTH BLVD STE 250
WHEAT RIDGE, CO, 800334653
Browse CO providers · Browse ZIP 80033
Phone
9703103406
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in WHEAT RIDGE, CO

Name Credential NPI
MS. LENYA B. ROBINSON MA, LPC 1740268697
MARIBETH EILEEN FLANAGAN LPC 1073573457
DR. SHERYL LYNN BRICKNER PHD 1609811017
MS. CATHERINE ANN HOICH LPC, CACIII 1578640314
MR. ROY ALAN GIRARD LPC, CAC II 1578638599
CAROL MEADORS M.A. 1710043146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.