JUDY LYNN ROTACH (MA) – Mental Health Counselor, NPI 1669659314

JUDY LYNN ROTACH (MA) is a healthcare provider. based in Maplewood, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. The NPI Number for JUDY LYNN ROTACH (MA) is 1669659314

Main info

Female
19 Years Of Experience
Name
JUDY LYNN ROTACH (MA)
NPI
1669659314
Phone
(651) 748-5019
Address
2115 COUNTY ROAD D E # B
Enumeration Date
24 January 2008
Last Update Date
24 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514829361
Graduation Year
2007 (19 years ago)
PAC ID
1951745009
Group Practice PAC ID
3173429214
Professional Enrollment ID
I20240216003283
Address ID
MN551126439NE900XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for JUDY LYNN ROTACH (MA)

  • County Road D East, Maplewood, Ramsey County, Minnesota, 55109, United States

    MAPLEWOOD, MN 551095353

    Phone: (651) 748-5019

    Fax: (651) 773-7591

    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: 2024-02-16

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
I20240216003283IMental Health CounselorMNTBD

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 55109)

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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: 3173429214View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
-MN
Marriage And Family TherapistMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Is there an official ID for JUDY LYNN ROTACH (MA) in U.S. healthcare records?
The official identifier for JUDY LYNN ROTACH (MA) is NPI 1669659314.
Is there an active status for JUDY LYNN ROTACH (MA)?
For scheduling context, JUDY LYNN ROTACH (MA) is shown as active in the registry.
What area of care is associated with JUDY LYNN ROTACH (MA)?
JUDY LYNN ROTACH (MA)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is JUDY LYNN ROTACH (MA) located near Maplewood?
JUDY LYNN ROTACH (MA) currently maps to Maplewood, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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