Healthcare Provider Details

I. General information

NPI: 1174487979
Provider Name (Legal Business Name): BRITTANY ROERS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 JOHN ST
STARBUCK MN
56381-4623
US

IV. Provider business mailing address

500 JOHN ST
STARBUCK MN
56381-4623
US

V. Phone/Fax

Practice location:
  • Phone: 320-239-4800
  • Fax: 239-239-1420
Mailing address:
  • Phone: 320-239-4800
  • Fax: 320-239-1420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4333
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: