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

Mark L Roa, MA, LP

Individual provider Psychologist · NPI 1275597957

Mark L Roa, MA, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 1991, 35 years ago. Offers telehealth. Licensed in Minnesota.

Years since qualifying
35
Licensed in
MN
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2545 Chicago Ave Ste 701
Minneapolis, MN 55404-4522
Phone: (612) 863-5327
Fax: (612) 863-2596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP3689 (MN)

Record details

NPI number1275597957
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LP
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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