MR. ROGER G. MORTISE (NPI# 1629614052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629614052 |
| Entity Type | Individual |
| Full Name | MR. ROGER G. MORTISE |
| Credential | LPC |
| Practice Address |
306 Westwood Office Park Fredericksburg VA 22401-5108 |
| Mailing Address |
5374 Twin Hickory Rd Glen Allen VA 23059-5682 |
| Practice Telephone | 5406990226 |
| Practice Fax Number | 5406990224 |
| Mailing Telephone | 5406990226 |
| Mailing Fax Number | 5406990224 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008698 | VA | Behavioral Health & Social Service Providers |
| Street Address |
306 WESTWOOD OFFICE PARK |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516731 | Staci Blair Marzolino | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2014-03-28 |
| 1346857810 | Rachel Marie Ormsbee | Counselor | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2020-09-28 |
| 1114563509 | Kristina Stone | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2019-11-21 |
| 1164087326 | Christopher Lynn | Counselor | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2019-05-03 |
| 1588177943 | Jeanie Melissa Melendez-davidson | Psychologist | 306 Westwood Office Park, Fredericksburg, VA 22401 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392445 | Jashanda Poe | Counselor | 238 Riverside Manor Blvd, Fredericksburg, VA 22401-4937 | 2020-10-07 |
| 1124653647 | Monday Courage LLC | Counselor | 180 Chatham Heights Rd Ste 203, Fredericksburg, VA 22405-2569 | 2020-03-04 |
| 1649803594 | Malcolm Ian Bernard | Counselor | 180 Chatham Heights Rd, Fredericksburg, VA 22405-2569 | 2020-02-19 |
| 1538727003 | April Mae Cook | Counselor | 4820 Southpoint Dr Ste 105, Fredericksburg, VA 22407-2605 | 2019-05-30 |
| 1831754928 | Rebecca Clay Howson-jacobs | Counselor | 1801 William St, Fredericksburg, VA 22401-5236 | 2019-05-05 |
| 1962962076 | Mary Wazeter Mannhardt I | Counselor | 1141 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2019-03-23 |
| 1760949127 | Starting Point of Virginia, P.C. | Counselor | 4024 Plank Rd, Fredericksburg, VA 22407-4800 | 2019-02-21 |
| 1558835686 | Pamela Brown | Counselor | 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4953 | 2019-01-11 |
| 1962987693 | Amber Carpenter | Counselor | 1102 Hoke Ln, Fredericksburg, VA 22401-2641 | 2018-09-27 |
| 1053897868 | Joanne Thomas | Counselor | 150 Olde Greenwich Dr Ste 204, Fredericksburg, VA 22408-4002 | 2018-07-15 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MR. ROGER G. MORTISE.
| 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.