Individual provider · Type 1 NPI

Risa Lorena Roth, M.ED.

Mental Health Counselor · Minneapolis, MN

NPI number 1861347080 Active

Practice location

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

Call (612) 445-0225 Map

Fax (612) 445-0112

Mailing address

720 N 4th St Unit 206
Minneapolis, MN 55401-1945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861347080

Risa Lorena Roth, M.ED.'s National Provider Identifier is 1861347080, issued on Mar 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 3, 2026.