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RISA LORENA ROTH M.ED.
NPI 1861347080
Counselor - Mental Health in Minneapolis, MN

Active since March 03, 2026PECOS Enrolled
1422 W LAKE ST STE 314, MINNEAPOLIS, MN 55408(612) 445-0225(612) 445-0112 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Risa Lorena Roth M.ed. NPPES

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

RISA LORENA ROTH M.ED. (NPI 1861347080) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861347080
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRISA LORENA ROTHCredential: M.ED.
Location Address1422 W LAKE ST STE 314Minneapolis, MN 55408-2616
Mailing Address720 N 4th St Unit 206Minneapolis, MN 55401-1945 · (847) 962-1570
Phone(612) 445-0225
Fax(612) 445-0112
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1861347080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1422 W LAKE ST STE 314, Minneapolis, MN 55408
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Risa Lorena Roth M.ed. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628551959
PECOS Enrollment IDI20260313002994
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 2

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

GERTRUDE A SCHWENDIG-KEATING LICSW
Social Worker (Clinical)
1422 W LAKE ST STE 314
MINNEAPOLIS, MN 55408
Hennepin County (612) 445-0225
JENNIFER OSTROM LADC, LPCC
Counselor (Professional)
1422 W LAKE ST STE 314
MINNEAPOLIS, MN 55408
Hennepin County (612) 445-0225

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 Risa Roth's NPI number?

The NPI number for Risa Roth is 1861347080. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Risa Roth located?

Risa Roth practices at 1422 W Lake St Ste 314, Minneapolis, MN 55408. The listed phone number is (612) 445-0225.

What is Risa Roth's specialty?

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

Is Risa Roth enrolled in Medicare?

Yes. Risa Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Risa Roth was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.