MS. SUSAN ROSE ROELLER MSW, LICSW
NPI 1801193123
Social Worker - Clinical in Coon Rapids, MN

Q: What is Susan Roeller's NPI number?

The NPI number for Susan Roeller is 1801193123. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Q: What is Susan Roeller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Roeller was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 23, 2011PECOS Enrolled

1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 427-7964(763) 427-7976 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ms. Susan Rose Roeller Msw, Licsw NPPES

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

MS. SUSAN ROSE ROELLER MSW, LICSW (NPI 1801193123) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (17878) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1801193123

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. SUSAN ROSE ROELLERCredential: MSW, LICSW

Location Address1930 COON RAPIDS BLVD NWCoon Rapids, MN 55433-4708

Mailing Address1930 Coon Rapids Blvd NwCoon Rapids, MN 55433-4708 · (763) 427-7964 · Fax (763) 427-7976

Phone(763) 427-7964

Fax(763) 427-7976

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 23, 2011

✔ NPI 1801193123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 17878

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1930 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Rose Roeller Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022293133

PECOS Enrollment IDI20110504000408

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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Roeller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lyn-Lake Psychotherapy And Wellness Ltd.

15 mi

Clinical

621 W LAKE ST STE 350
Minneapolis, MN 55408

Reassigned Medicare billing, Minnesota enrollment
152 clinicians in this Medicare group

NPI 1609355163 (612) 979-2276

Tubman

17 mi

Mental Health (Including Community Mental Health Center)

4432 CHICAGO AVENUE SOUTH
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
4 clinicians in this Medicare group

NPI 1376655159 (612) 870-2444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 20

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

MR. RAND OLLEN ADAMS L.P.

Psychologist

1930 COON RAPIDS BLVD NW, FAMILY LIFE MENTAL HEALTH
COON RAPIDS, MN 55433

Anoka County (763) 427-7964

DAVID J MATHEWS LICSW

Social Worker (Clinical)