Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chandra Rochelle Roth, MA

Individual provider Marriage & Family Therapist · NPI 1174085450

Chandra Rochelle Roth, MA is a Marriage and Family Therapist in Woodbury, Minnesota. Qualified in 2006, 20 years ago. Registered with an NPI since 2019.

Years since qualifying
20
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1174085450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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