DOUGLAS RAY ROLLER CDCA NPI 1447903760

NPI Information

NPI: 1447903760
Provider Name: DOUGLAS RAY ROLLER, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
69 N DIXIE DR STE F
VANDALIA, OH
ZIP 45377
Phone: (937) 280-4508
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Douglas Ray Roller, CDCA is an addiction (substance use disorder) counselor in Vandalia, OH. Douglas Ray Roller, CDCA NPI is 1447903760. 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:

69 N DIXIE DR STE F
VANDALIA, OH
ZIP 45377-060
Phone: (937) 280-4508

The enumeration date for this NPI number is 1/27/2022 and was last updated on 3/20/2024.

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	175T00000X	Peer Specialist			OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.186338	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	236	MEDICAID	DISTRICT OF COLUMBIA
2	5874	OTHER	OHIO	HEALTH PARTNERS
3	568946544	OTHER	OHIO	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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