MS. MICHELE ANNE ROEDER


Address: 39 East State Avenue, Meridian, ID 83642
Phone: 2089365111

MS. MICHELE ANNE ROEDER (NPI# 1932407319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932407319
Entity Type Individual
Full Name MS. MICHELE ANNE ROEDER
Other Name MICHELE ANNE STEPHENS
Credential LCPC
Practice Address 39 East State Avenue
Meridian
ID 83642
Mailing Address 2891 West Gemstone Drive
Meridian
ID 83646
Practice Telephone 2089365111
Practice Fax Number 2084732206
Mailing Telephone 2089365111
Mailing Fax Number 2084732206
Enumeration Date 2011-03-08
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LCPC-3375 ID Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LCPC-3375 ID Behavioral Health & Social Service Providers

Office Location

Street Address 39 EAST STATE AVENUE
City MERIDIAN
State ID
Zip Code 83642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1972145308 Sarah Barnes Counselor 2068 S Eagle Rd, Meridian, ID 83642-6707 2019-10-17
1033688007 Garrett Kroon Counselor 3061 S Meridian Rd Ste 100, Meridian, ID 83642-7962 2018-11-19
1841778131 Rikki Victoria Clemens Jensen Counselor 1985 N Monaco Way, Meridian, ID 83646-1302 2018-07-30
1477062248 Kristen K French Counselor 1887 E Summerridge Dr, Meridian, ID 83646-5587 2017-09-25
1821462672 Kimberly Beck Counselor 39 W. Pine Ave, Meridian, ID 83642 2015-11-17
1598188286 Dwyla Wilson Counselor 5842 Mohawk Rd, Meridian, MS 39305-1367 2014-01-30
1467884627 Jennifer L Smith Counselor 1865 N Lakes Pl, Meridian, ID 83646-1921 2013-07-30
1205142106 Sandra Denice Clark Counselor 5701 N Hills St, Meridian, MS 39307-2903 2010-08-30
1033432471 Jennifer L Roman Counselor 3023 E Copper Point Dr Ste 205, Meridian, ID 83642-9290 2010-03-11
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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