Jensen Leigh Roeder, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2624 Issued in ND

Practice address

3175 Sienna Dr S Ste 103
Fargo, ND 58104-8910

Phone

(701) 532-1906

Fax

(701) 532-1896

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interact Therapy LLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1740790005
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1215777305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 6TH WAY E UNIT A",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788710",
            "telephone_number": "701-532-1906",
            "fax_number": "701-532-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SIENNA DR S STE 103",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048910",
            "telephone_number": "701-532-1906",
            "fax_number": "701-532-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "JENSEN",
        "middle_name": "LEIGH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Rodenbiker, FNP-C
• Sarah Rodenburg
• Dillon Rodriguez
• Elizabeth Roeber, M.D.
• Alex Roeder, LCSW
• Lacey Joy Roehl
• Jeanine L Roembach, MD
• Brittney Roemmich, PHARMD, RPH
• Lauren Roemmich, LSW
• Monte Lon Roemmich, PHARM D

• Speech-Language Pathologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.