1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ROLDAN LPC
NPI 1376084046
Counselor - Professional in Green Bay, WI

Active since March 15, 2017PECOS Enrolled
3150 GERSHWIN DR, GREEN BAY, WI 54311(920) 391-6940(920) 391-4731 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, May 27, 2026, Jun 15, 2023 and 2 more (5 updates tracked since 2017).

About Mary Roldan Lpc NPPES

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

MARY ROLDAN LPC (NPI 1376084046) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (10239-125) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376084046
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ROLDANCredential: LPC
Location Address3150 GERSHWIN DRGreen Bay, WI 54311-4328
Mailing Address3150 Gershwin DrGreen Bay, WI 54311-4328 · (920) 391-6940 · Fax (920) 391-4731
Phone(920) 391-6940
Fax(920) 391-4731
Sole ProprietorNo
Enumeration DateMarch 15, 2017
Last NPPES UpdateJuly 7, 20265 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1376084046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 10239-125✔ Licensed in TX · 74395
3150 GERSHWIN DR, Green Bay, WI 54311
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Roldan-balboa Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.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)

Mary Roldan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

JADE COUNTY COMMUNITY TRE PIRLOTT LPC
Counselor (Professional)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
ASHLEY N ZELLNER
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4751
YOGESH C PAREEK M.D.
Psychiatry & Neurology (Psychiatry)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
HELGA AQUINO MEYER LCSW
Social Worker (Clinical)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
COUNTY OF BROWN
Case Management
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700
ABIGAIL ANN MILLER SAC
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-6943
NICOLE DUFEK LCSW
Social Worker (Clinical)
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (203) 914-7009
MATTHEW MALONEY SAC IT
Counselor (Addiction (Substance Use Disorder))
3150 GERSHWIN DR
GREEN BAY, WI 54311
Brown County (920) 391-4700

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 Mary Roldan's NPI number?

The NPI number for Mary Roldan is 1376084046. It was assigned to this individual provider in the NPPES registry on March 15, 2017. The provider is also known as Mary Roldan-Balboa Lpc.

Where is Mary Roldan located?

Mary Roldan practices at 3150 Gershwin Dr, Green Bay, WI 54311. The listed phone number is (920) 391-6940.

What is Mary Roldan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Roldan enrolled in Medicare?

Yes. Mary Roldan is registered in the Medicare PECOS enrollment system.

What insurance does Mary Roldan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Mary Roldan 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 Mary Roldan was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.