MR. ROGER KENNEDY (NPI# 1891303152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891303152 |
| Entity Type | Individual |
| Full Name | MR. ROGER KENNEDY |
| Practice Address |
1652 Nw Hughwood Ct Roseburg OR 97471-8844 |
| Practice Telephone | 5416733985 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528174554 | Roger Franklin Kennedy | Neurological Surgery | 846 45th Ave Nw, Lot 10, Hazen, ND 58545-9362 | 2006-08-22 |
| 1417296104 | Roger Lee Kennedy Jr. | Pharmacist | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 | 2013-01-31 |
| 1659484848 | Roger O Kennedy | Nurse Anesthetist, Certified Registered | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-08-15 |
| Street Address |
1652 NW HUGHWOOD CT |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376693721 | Judith Karen Eckstein | Psychologist | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-01-10 |
| 1235782293 | Mark A Saren | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-07-18 |
| 1295399731 | Zarasun Pond | Social Worker | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2019-04-30 |
| 1144771320 | Susan Michele Mclaughlin | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2016-10-21 |
| 1154788065 | Michael Wayne Fernandez | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2016-01-22 |
| 1942616537 | Tania Welikala | Social Worker | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2014-07-03 |
| 1548534894 | Katie Jayne Benton Kenney | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2012-03-05 |
| 1598897084 | Lawrence J Flanagan | Psychologist | 1652 Nw Hughwood Ct, Roseburg, OR 97470-8844 | 2007-03-10 |
| 1437299534 | Gloria M Mccrea | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-02-07 |
| 1760520456 | Bryan Mccrea | Counselor | 1652 Nw Hughwood Ct, Roseburg, OR 97471-8844 | 2007-02-02 |
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| 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 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1598012965 | Jane Lynn Docken | Counselor | 877 Ne Church Ave, Roseburg, OR 97470-1590 | 2012-08-05 |
| 1285886051 | Jon R Jackson | Counselor | 337 Fowler St, Roseburg, OR 97470 | 2008-10-10 |
| 1639321409 | Leslie Bennett | Counselor | 272 Nw Medical Loop Ste C, Roseburg, OR 97471-5545 | 2008-10-10 |
| 1225171721 | Holly Leeann Oltman | Counselor | 337 Fowler, Roseburg, OR 97470 | 2007-02-14 |
| 1912532599 | Nicki Golden Fox-morse | Counselor | 283 Se Fowler St Ste 2, Roseburg, OR 97470-3309 | 2020-03-04 |
| 1871142745 | Megan Pilar Watkins | Counselor | 283 Se Fowler St Ste 2, Roseburg, OR 97470-3309 | 2019-09-04 |
| 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.