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

Risa Lorena Roth, MED

Individual provider Mental Health Counselor · NPI 1861347080

Risa Lorena Roth, MED is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
In the registry since
2026
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

1422 W Lake St Ste 314
Minneapolis, MN 55408-2616
Phone: (612) 445-0225
Fax: (612) 445-0112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1861347080
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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