Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK L ROA MA, LP
NPI 1275597957
Psychologist in Minneapolis, MN

Active since April 12, 2006PECOS Enrolled
2545 CHICAGO AVE, SUITE 701, MINNEAPOLIS, MN 55404(612) 863-5327(612) 863-2596 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark L Roa Ma, Lp NPPES

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

MARK L ROA MA, LP (NPI 1275597957) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP3689) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1275597957
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK L ROACredential: MA, LP
Location Address2545 CHICAGO AVE, SUITE 701Minneapolis, MN 55404-4522
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Fax(612) 863-2596
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 12, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1275597957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3689
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2545 CHICAGO AVE, Minneapolis, MN 55404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark L Roa Ma, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335592997
PECOS Enrollment IDI20240130003314
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Surgery
2545 CHICAGO AVE, SUITE 601
MINNEAPOLIS, MN 55404
Clinical Nurse Specialist (Adult Health)
2545 CHICAGO AVE
MINNEAPOLIS, MN 55404
Dietitian, Registered
2545 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55404
Surgery
2545 CHICAGO AVE, SUITE 601
MINNEAPOLIS, MN 55404
Specialist
2545 CHICAGO AVE, SUITE 601
MINNEAPOLIS, MN 55404
Psychologist
2545 CHICAGO AVE, SUITE 701
MINNEAPOLIS, MN 55404
Urology
2545 CHICAGO AVE, SUITE 211
MINNEAPOLIS, MN 55404
Pharmacist
2545 CHICAGO AVE, SUITE 120
MINNEAPOLIS, MN 55404

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 Mark Roa's NPI number?

The NPI number for Mark Roa is 1275597957. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Mark Roa located?

Mark Roa practices at 2545 Chicago Ave Suite 701, Minneapolis, MN 55404. The listed phone number is (612) 863-5327.

What is Mark Roa's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Roa enrolled in Medicare?

Yes. Mark Roa is registered in the Medicare PECOS enrollment system.

What insurance does Mark Roa accept?

Health plans from HealthPartners list Mark Roa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Roa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.