MRS. HEATHER JOY ROARK PSY D, LP
NPI 1619048980
Psychologist - Clinical in Virginia, MN

Q: What is Heather Roark's NPI number?

The NPI number for Heather Roark is 1619048980. It was assigned to this individual provider in the NPPES registry on November 10, 2006. The provider is also known as Ms. Heather Joy Stanaway.

Q: What is Heather Roark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Roark was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since November 10, 2006PECOS Enrolled

624 13TH ST S, VIRGINIA, MN 55792(218) 749-2881(218) 749-3806 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Heather Joy Roark Psy D, Lp NPPES

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

MRS. HEATHER JOY ROARK PSY D, LP (NPI 1619048980) is an individual clinical provider in Virginia, Minnesota, licensed in Minnesota (LP5089) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619048980

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. HEATHER JOY ROARKCredential: PSY D, LP

Location Address624 13TH ST SVirginia, MN 55792-3149

Mailing AddressPo Box 1188Virginia, MN 55792-1188 · (218) 749-2881 · Fax (218) 749-3806

Phone(218) 749-2881

Fax(218) 749-3806

Sole ProprietorNo

Enumeration DateNovember 10, 2006

Last NPPES UpdateDecember 8, 2014

✔ NPI 1619048980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP5089

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

624 13TH ST S, Virginia, MN 55792

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Other Names 1

Former Name (1)Ms. Heather Joy Stanaway

Other Identifiers 1

Medicare PIN680002719MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Mrs. Heather Joy Roark Psy D, Lp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

REBECCA LEADERS MS

Marriage & Family Therapist

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

BROOKE L. ZUPANCICH MS, LPCC

Counselor (Mental Health)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

DREW S. FLASCHBERGER MSE, LPCC

Counselor (Mental Health)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

ENRICO THOMAS WELSCH MSW

Social Worker (Clinical)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

KRISTIN GILDSETH ERIE MSSW, LGSW

Social Worker (Clinical)

624 13TH ST S, RANGE MENTAL HEALTHCENTER
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

CASSANDRA LEE KOTNIK MSW, LICSW

Social Worker (Clinical)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

TAYLOR WESTIN LICSW

Social Worker (Clinical)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

KATHLEEN UDOVICH APRN

Nurse Practitioner (Psychiatric/Mental Health)

624 13TH ST S
VIRGINIA, MN 55792

St. Louis County (218) 749-2881

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 Heather Roark's NPI number?

The NPI number for Heather Roark is 1619048980. It was assigned to this individual provider in the NPPES registry on November 10, 2006. The provider is also known as Ms. Heather Joy Stanaway.

Where is Heather Roark located?

Heather Roark practices at 624 13th St S, Virginia, MN 55792. The listed phone number is (218) 749-2881.

What is Heather Roark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heather Roark enrolled in Medicare?

Yes. Heather Roark is registered in the Medicare PECOS enrollment system.

What insurance does Heather Roark accept?

Health plans from HealthPartners list Heather Roark 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 Heather Roark was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.