ROGER JOHN CASEY JR. (NPI# 1730428699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730428699 |
| Entity Type | Individual |
| Full Name | ROGER JOHN CASEY JR. |
| Credential | ATC |
| Practice Address |
12280 228th St N Scandia MN 55073-9467 |
| Practice Telephone | 6513998497 |
| Mailing Telephone | 6513998497 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304448 | MN | Behavioral Health & Social Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1109 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12280 228TH ST N |
| City | SCANDIA |
| State | MN |
| Zip Code | 55073-9467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194886630 | Scandia Family Dental Pa | Dentist | 21080 Olinda Trail N, Scandia, MN 55073 | 2006-12-12 |
| 1669517579 | Jennifer Jo Laberge | Dentist | 21080 Olinda Trail N, Scandia, MN 55073 | 2007-02-20 |
| 1043833247 | Heart To Heart Home Care LLC | In Home Supportive Care | 24610 Kestrel Ave, Scandia, MN 55073-2706 | 2020-05-21 |
| 1104339399 | Kelsey Marie Kim Nelson | Registered Nurse | 21050 Newberry Ave N, Scandia, MN 55073-9103 | 2017-11-09 |
| 1033284815 | Michael F Mcgrane | Social Worker | 22797 Meadowbrook Ave N, Scandia, MN 55073-9429 | 2006-11-21 |
| 1700195542 | Ladd Memorial Hospital | Clinic/Center | 21150 Ozark Ave N, Scandia, MN 55073-9447 | 2010-09-28 |
| 1528443421 | Heidi Goelz | Occupational Therapist | 21393 Novak Ave N, Scandia, MN 55073-9451 | 2015-07-21 |
| 1528103041 | Leland James Kendrick | Chiropractor | 21080 Olinda Trl N, Box 4, Scandia, MN 55073-9492 | 2007-02-21 |
| 1215374061 | Stephanie Rachel Martell | Chiropractor | 21080 Olinda Trl N, Scandia, MN 55073-9492 | 2013-06-03 |
| 1740325299 | Kendrick Chiropractic Clinic Ltd. | Chiropractor | 21080 Olinda Trl N, Box 4, Scandia, MN 55073-9492 | 2007-02-21 |
| Find all providers in zip 55073 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952464547 | Haven Chemical Health Systems, LLC | Counselor | 21077 Penrose Ave N, Scandia, MN 55073-9710 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.