SUSAN ROGGENDORF QMHP, LMHC, LPC
NPI 1316326036
Counselor - Mental Health in Bettendorf, IA
About Susan Roggendorf Qmhp, Lmhc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ROGGENDORF QMHP, LMHC, LPC (NPI 1316326036) is an individual mental health provider in Bettendorf, Iowa, licensed in Iowa (072145) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bettendorf, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Roggendorf Qmhp, Lmhc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Susan Roggendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, Iowa enrollment
- Medicare enrollment name: Brightside Medical PA
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETTENDORF, IA 52722
BETTENDORF, IA 52722
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 Susan Roggendorf's NPI number?
The NPI number for Susan Roggendorf is 1316326036. It was assigned to this individual provider in the NPPES registry on May 27, 2015.
Where is Susan Roggendorf located?
Susan Roggendorf practices at 2435 Kimberly Rd Ste 270, Bettendorf, IA 52722. The listed phone number is (563) 219-7700.
What is Susan Roggendorf's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Susan Roggendorf enrolled in Medicare?
Yes. Susan Roggendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Susan Roggendorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Roggendorf reassigns Medicare benefits to Brightside Medical, P.A. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Roggendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Roggendorf accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 4 other insurers list Susan Roggendorf 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 Susan Roggendorf was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Susan Roggendorf, QMHP, LMHC, LPC · NPI 1316326036
Mental Health provider in Bettendorf, Iowa. Individual provider, active in the CMS NPPES registry since May 27, 2015.
## Identity
- **NPI:** 1316326036 (Entity type: Individual)
- **Enumerated:** May 27, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 072145 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2435 KIMBERLY RD STE 270, Bettendorf, IA 52722-3509
- **Phone:** (563) 219-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316326036) · Data from the CMS NPPES public registry.