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

Mary Roldan, LPC

Individual provider Professional Counselor · NPI 1376084046

Mary Roldan, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2004, 22 years ago. Licensed in Texas and Wisconsin.

Years since qualifying
22
Licensed in
TX, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3150 Gershwin Dr
Green Bay, WI 54311-4328
Phone: (920) 391-6940
Fax: (920) 391-4731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10239-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 74395 (TX)

Record details

NPI number1376084046
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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