JUDY LYNN ROTACH MA
NPI 1669659314
Counselor - Mental Health in Maplewood, MN

Q: What is Judy Rotach's NPI number?

The NPI number for Judy Rotach is 1669659314. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Q: What is Judy Rotach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Judy Rotach was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 24, 2008PECOS Enrolled

2115 COUNTY ROAD D E # B, MAPLEWOOD, MN 55109(651) 748-5019(651) 773-7591 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Judy Lynn Rotach Ma NPPES

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

JUDY LYNN ROTACH MA (NPI 1669659314) is an individual mental health provider in Maplewood, Minnesota and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1669659314

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJUDY LYNN ROTACHCredential: MA

Location Address2115 COUNTY ROAD D E # BMaplewood, MN 55109-5353

Mailing Address2115 County Road D E # BMaplewood, MN 55109-5353 · (651) 748-5019 · Fax (651) 773-7591

Phone(651) 748-5019

Fax(651) 773-7591

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 24, 2008

✔ NPI 1669659314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2115 COUNTY ROAD D E # B, Maplewood, MN 55109

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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)

Judy Lynn Rotach Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951745009

PECOS Enrollment IDI20240216003283

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 6

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

MARK CHARLES LIGHTNER B.A.

Counselor (Mental Health)