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

Jonathan Roth

Individual provider Marriage & Family Therapist · NPI 1366565913

Jonathan Roth is a Marriage & Family Therapist in Ithaca, New York. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

122 W Court St
Ithaca, NY 14850
Phone: (607) 275-5965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Hyde St, San Francisco, CA 94109-5996 — (415) 673-5700

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005266 (NY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 86401 (CA)

Record details

NPI number1366565913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESSeptember 4, 2018

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