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SUSAN ROISTACHER LCPC
NPI 1912064387
Counselor - Mental Health in Rockville, MD

Active since January 03, 2007Opted out of Medicare · through Apr 14, 2028
206 N ADAMS ST, ROCKVILLE, MD 20850(301) 424-0920(301) 424-4333 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Roistacher Lcpc NPPES

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

SUSAN ROISTACHER LCPC (NPI 1912064387) is an individual mental health provider in Rockville, Maryland, licensed in Maryland (LC0004) and active in the NPI registry since January 2007. She has opted out of Medicare through April 14, 2028.

NPPES Registry Identity

NPI1912064387
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN ROISTACHERCredential: LCPC
Location Address206 N ADAMS STRockville, MD 20850-1829
Mailing Address206 N Adams StRockville, MD 20850-1829 · (301) 424-0920 · Fax (301) 424-4333
Phone(301) 424-0920
Fax(301) 424-4333
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1912064387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC0004
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC0004 (MD)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Roistacher Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 14, 2024 through April 14, 2028.

Opt-Out Effective DateApril 14, 2024
Opt-Out In Effect ThroughApril 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

MS. KATHERINE M REYES MSW, LCSW-C, LICSW
Social Worker (Clinical)
206 N ADAMS ST
ROCKVILLE, MD 20850
Montgomery County (301) 762-0415
MS. RISE HANNAH PAGE LCPC, LMHC, CCDC, NC
Counselor (Addiction (Substance Use Disorder))
206 N ADAMS ST
ROCKVILLE, MD 20850
Montgomery County (407) 970-0084
MS. LINNETTE RIVERA LCPC
Counselor (Professional)
206 N ADAMS ST
ROCKVILLE, MD 20850
Montgomery County (301) 642-7817

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 Susan Roistacher's NPI number?

The NPI number for Susan Roistacher is 1912064387. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Susan Roistacher located?

Susan Roistacher practices at 206 N Adams St, Rockville, MD 20850. The listed phone number is (301) 424-0920.

What is Susan Roistacher's specialty?

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

Is Susan Roistacher enrolled in Medicare?

No. Susan Roistacher has opted out of Medicare through April 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Roistacher was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.