Individual provider Active NPI

Risa Lorena Roth, M.ED.

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1861347080
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1422 W Lake St Ste 314
Minneapolis, MN 55408-2616
Phone
(612) 445-0225
Fax
(612) 445-0112
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1422 W Lake St Ste 314
Minneapolis, MN 55408-2616

Mailing address

720 N 4TH St Unit 206
Minneapolis, MN 55401-1945
Phone (847) 962-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313002994 MN Practitioner - Mental Health Counselor 8628551959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1409 Willow St
Suite 400
Minneapolis, MN 55403-3251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Transcend Psychotherapy, PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1409 Willow St
Ste 400
Minneapolis, MN 55403
Phone (612) 445-0225

1422 W Lake St
Ste 314
Minneapolis, MN 55408
Phone 6124450225 ext. 11

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1861347080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 4TH ST UNIT 206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011945",
            "telephone_number": "847-962-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W LAKE ST STE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082616",
            "telephone_number": "612-445-0225",
            "fax_number": "612-445-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RISA",
        "middle_name": "LORENA",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.