MEDICARE: SARAH ROITZ MS, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3597	KS

General Provider Information

NPI Number	:	1235752916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROITZ MS, LPC, NCC

Provider Business Mailing Address
First Line	:	2200 W 47TH PL APT 426
Second Line	:
City	:	WESTWOOD
State	:	KS
Zip	:	66205-1890
Country	:	US
Telephone Number	:	816-679-4196
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 E SANTA FE ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-3457
Country	:	US
Telephone Number	:	816-977-3178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2020
Last Update Date	:	05/28/2020

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