Individual provider

Mary Roldan, LPC

Professional Counselor

Mary Roldan, LPC is a Professional Counselor in Green Bay, WI, registered under NPI 1376084046.

Getting there

The practice address on file is 3150 GERSHWIN DR, Green Bay, WI 54311. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3150 GERSHWIN DR, Green Bay, WI 54311 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
74395 TX Professional Counselor
10239-125 WI Professional Counselor primary

Licences are recorded in 2 states: TX, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Texas and Wisconsin. The practice address on file is in Green Bay, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

TX Texas
Licence
74395
Specialty
Professional Counselor
Verify with the TX board →
WI Wisconsin practice address
Licence
10239-125
Specialty
Professional Counselor
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 74395 TX
101YP2500X Professional Counselor Professional 10239-125 WI primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376084046 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 15, 2017
Last updatedJul 7, 2026
StatusActive
Sole proprietorNo
CredentialLPC
Practice address 3150 GERSHWIN DR
Green Bay, WI 54311
(920) 391-6940
Fax (920) 391-4731
Other names Mary Roldan-balboa Former Legal Business Name
This record was updated on Jul 7, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1376084046 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 0 8 4 0 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 0 8 8 0 8

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376084046?
NPI 1376084046 is the National Provider Identifier assigned to Mary Roldan, LPC in Green Bay, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Mary Roldan, LPC?
The phone number on file with NPPES is (920) 391-6940, last updated Jul 7, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1376084046 a valid number?
Yes. 1376084046 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.