Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558904557 Individual Practitioner Male Practitioner

Cullen Johnson Roth , RSPS, MHPS, PSS

Peer Specialist • Houston, TX

Professional Overview & Biography Verified Profile Summary

Cullen Roth, RSPS, MHPS, PSS is a registered healthcare professional specializing in Peer Specialist in Houston, TX. Practice services are available at 12301 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12301 Main St

Houston, TX 770356207

Telephone 7132755115
Associated Practice Facility / Clinic
🏢 Menninger Cinic Facility NPI 1265831408

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Houston, TX (109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-28
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License TX 1271-0621

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License TX 50028-0820

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003536293

Licensed Master Social Worker

Hannah Mckeon

Counselor - Mental Health

NPI 1013891563
Salimah Walker , LMSW

Social Worker - Clinical

NPI 1033032669

Licensed Master Social Worker

Leland Wall , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1033752589

Licensed Chemical Dependency Counselor

Jessica Crain , LMSW

Social Worker - Clinical

NPI 1033955232

Licensed Master Social Worker

Delia Chiasson

Social Worker

NPI 1043015613

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address January 28, 2024

Registered at PO BOX 524132, HOUSTON, TX 770524132

👤
Provider Name / Credentials Updated January 28, 2024

Recorded as CULLEN ROTH, RSPS, MHPS, PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2024

Peer Specialist (License #1271-0621 in TX)

NPI Profile Active October 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2019

Registered at 12301 MAIN ST, HOUSTON, TX 770356207 (Tel: 7132755115)

📍
Updated Business Mailing Address October 22, 2019

Registered at 3775 PURDUE ST, HOUSTON, TX 770051127

👤
Provider Name / Credentials Updated October 22, 2019

Recorded as CULLEN ROTH, PRSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2019

Peer Specialist (License #1832-0619 in TX)

🟢
Initial NPI Registration & Enumeration October 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cullen Roth. Be the first to share your experience!

Sign in to leave a review for Cullen Roth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1558904557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2019
Last Update: January 28, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 524132

Houston, TX 770524132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.