Heather Roark, PSY D, LP
NPI 1619048980 · Clinical Psychologist · Virginia, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Roark, PSY D, LP is a Clinical Psychologist provider in Virginia, MN (NPI 1619048980).
Provider details
- NPI number
- 1619048980
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY D, LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP5089 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2014-12-08
Frequently asked questions
- What is Heather Roark's NPI number?
- Heather Roark's National Provider Identifier (NPI) is 1619048980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Roark's specialty?
- Heather Roark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Heather Roark located?
- Heather Roark's practice location on file with NPPES is 624 13th St S, Virginia, MN 55792-3149.
- What is Heather Roark's phone number?
- The practice phone number listed in the NPPES registry for Heather Roark is (218) 749-2881.
- Does Heather Roark accept Medicare?
- Heather Roark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Roark's NPI active?
- Yes — Heather Roark's NPI (1619048980) is active in the NPPES registry as of the last update on 2014-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.