MR. ROGER P ANDERSON LCPC NPI 1497981815

NPI Information

NPI: 1497981815
Provider Name: MR. ROGER P ANDERSON, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3400 W NEW LEAF LN
PEORIA, IL
ZIP 61615
Phone: (309) 692-6900
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MR. Roger P Anderson, LCPC is a mental health counselor in Peoria, IL. MR. Roger P Anderson, LCPC NPI is 1497981815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 W NEW LEAF LN
PEORIA, IL
ZIP 61615-311
Phone: (309) 692-6900
Fax: (309) 689-3086

The enumeration date for this NPI number is 6/1/2009 and was last updated on 6/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YP2500X	Counselor	Professional			No
3	101YM0800X	Counselor	Mental Health	180.000673	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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