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ETHAN BJORN ROE
NPI 1134968175
Counselor in New Brighton, MN

Active since May 20, 2024
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112(651) 419-4351(651) 628-0411 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Bjorn Roe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN BJORN ROE (NPI 1134968175) is an individual counselor in New Brighton, Minnesota and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1134968175
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameETHAN BJORN ROE
Location Address1900 SILVER LAKE RD NW STE 110New Brighton, MN 55112-1789
Mailing Address1840 Major Dr NGolden Valley, MN 55422-4153 · (612) 860-5737
Phone(651) 419-4351
Fax(651) 628-0411
Sole ProprietorNo
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1134968175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1900 SILVER LAKE RD NW STE 110, New Brighton, MN 55112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HAWKINSON
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MR. CRAIG SCHLEISMAN MA, LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
EMMA FUHRMAN
Counselor (Mental Health)
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KALENE HAUGEN LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
EMILY JUAIRE LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
VANESSA ANN KISSINGER LADC
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JODI MARIE HOLZEMER
Counselor (Addiction (Substance Use Disorder))
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
MR. ROBERT WAYNE EDDY MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Roe's NPI number?

The NPI number for Ethan Roe is 1134968175. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Ethan Roe located?

Ethan Roe practices at 1900 Silver Lake Rd NW Ste 110, New Brighton, MN 55112. The listed phone number is (651) 419-4351.

What is Ethan Roe's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ethan Roe was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.