KIDS & COMPANY COUNSELING, INC (NPI# 1033770938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033770938 |
| Entity Type | Organization |
| Organization Name | KIDS & COMPANY COUNSELING, INC |
| Practice Address |
1813 W Harvard Ave Ste 427 Roseburg OR 97471-8712 |
| Practice Telephone | 9075453079 |
| Mailing Telephone | 5418175326 |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MRS. DEBORAH ANN ROGERS (OWNER/GENERAL MANAGER) |
| Authorized Official Telephone | 5418175326 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PROFESSIONAL COUNSELOR LICENSE | PCOP933 | 01 |
| OR | 500733657 | 05 | |
| OR | PROFESSIONAL COUNSELOR LICENSE | C4751 | 01 |
| WA | MENTAL HEALTH COUNSELOR LICENSE | LH60275886 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13036 Old Glenn Hwy Ste C, Eagle River, AK 995777566 | 9076918910 | 8008642539 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KIDS & COMPANY COUNSELING, INC. | 1813 W Harvard Ave, Suite 427, Roseburg, OR 97470 |
| Street Address |
1813 W HARVARD AVE STE 427 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316122708 | Gerald Engstrom | Internal Medicine | 1813 W Harvard Ave Ste 427, Roseburg, OR 97470-8712 | 2008-01-03 |
| 1275893612 | Deborah Ann Rogers | Counselor | 1813 W Harvard Ave Ste 427, Roseburg, OR 97471 | 2012-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144585332 | Jessica J Hansen | Counselor | 1614 Se Stephens St, Roseburg, OR 97470-4000 | 2012-07-12 |
| 1205155645 | Greg Clayton Tillman-white | Counselor | 1376 Ne Walnut St, Roseburg, OR 97470-2242 | 2010-05-25 |
| 1629308820 | Jeff Dane Christensen | Counselor | 5583 Sunshine Rd, Roseburg, OR 97470-9458 | 2010-01-11 |
| 1558404772 | Clare Yvonne Salthouse | Counselor | 612 Se Jackson St, Suite 11, Roseburg, OR 97470-4989 | 2007-02-15 |
| 1679629356 | Bari S Isaacson | Counselor | 845 Se Mosher Ave, Roseburg, OR 97470-3961 | 2007-01-26 |
| 1235782293 | Mark A Saren | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-07-18 |
| 1902467988 | Grant Schroeder | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-06-21 |
| 1669949806 | Cynthia Rehberg | Counselor | 545 W Umpqua St Ste 1, Roseburg, OR 97471-2979 | 2018-10-25 |
| 1396132775 | Kim Annette Smith | Counselor | 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 | 2015-04-23 |
| 1881084812 | Vicki L. Johnson | Counselor | 337 Se Fowler St, Roseburg, OR 97470-4348 | 2015-01-29 |
| Find all providers in ROSEBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.