ROBERTA LEE MATHERN (MS, LMFT) – Marriage & Family Therapist, NPI 1487743977

ROBERTA LEE MATHERN (MS, LMFT) is a healthcare provider. based in Owatonna, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS, LMFT. They hold a License No. 1331 (MN). The NPI Number for ROBERTA LEE MATHERN (MS, LMFT) is 1487743977

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA LEE MATHERN (MS, LMFT)
NPI
1487743977
Phone
(507) 451-2630
Address
610 FLORENCE AVE
Enumeration Date
12 October 2006
Last Update Date
10 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073013412
Graduation Year
2003 (23 years ago)
PAC ID
4880120930
Group Practice PAC ID
8628409299
Professional Enrollment ID
I20241212000763
Address ID
MN550572756NO570XXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
messagec@direct.schrc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for ROBERTA LEE MATHERN (MS, LMFT)

  • 610, Florence Avenue, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550604704

    Phone: (507) 451-2630

    Fax: (507) 455-8133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241212000763IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628409299View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorFL
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How do payers reference ROBERTA LEE MATHERN (MS, LMFT)?
For ROBERTA LEE MATHERN (MS, LMFT), use NPI 1487743977 as the unique 10-digit identifier.
Active or inactive — what applies to ROBERTA LEE MATHERN (MS, LMFT)?
You should see ROBERTA LEE MATHERN (MS, LMFT) as active in CMS-hosted NPPES data.
What kind of doctor is ROBERTA LEE MATHERN (MS, LMFT)?
ROBERTA LEE MATHERN (MS, LMFT) is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is ROBERTA LEE MATHERN (MS, LMFT) associated with Owatonna?
Public fields place ROBERTA LEE MATHERN (MS, LMFT) around Owatonna, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ROBERTA LEE MATHERN (MS, LMFT) is noted as October 12, 2006 where the registry provides it.

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