MR. ROGER PATRICK NORTHWAY MS LCSW
NPI 1053449173
Counselor - Professional in Brookfield, WI

Q: What is Roger Northway's NPI number?

The NPI number for Roger Northway is 1053449173. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Roger Northway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Roger Northway was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment

13105 W BLUEMOUND RD, SUITE 100, BROOKFIELD, WI 53005(262) 641-9790(262) 641-9791 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Roger Patrick Northway Ms Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROGER PATRICK NORTHWAY MS LCSW (NPI 1053449173) is an individual professional provider in Brookfield, Wisconsin, licensed in Wisconsin (477125) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1053449173

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. ROGER PATRICK NORTHWAYCredential: MS LCSW

Location Address13105 W BLUEMOUND RD, SUITE 100Brookfield, WI 53005-8046

Mailing Address13105 W Bluemound Rd, Suite 100Brookfield, WI 53005-8046 · (262) 641-9790 · Fax (262) 641-9791

Phone(262) 641-9790

Fax(262) 641-9791

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateMarch 1, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1053449173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 477125

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2661123 (WI)

13105 W BLUEMOUND RD, Brookfield, WI 53005

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Other Identifiers 1

Medicaid39197200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roger Patrick Northway Ms Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729011374

PECOS Enrollment IDI20220531002418

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSOCIATES OF NEUROLOGICAL SURGERY, S.C.

Neurological Surgery

13105 W BLUEMOUND RD, SUITE 150
BROOKFIELD, WI 53005

Waukesha County (262) 754-5190

MS. FAYE MARIE ABLER LCSW

Social Worker (Clinical)

13105 W BLUEMOUND RD, #100
BROOKFIELD, WI 53005

Waukesha County (262) 641-9790

DR. JAMES R. LLOYD M.D.

Neurological Surgery

13105 W BLUEMOUND RD, SUITE 150
BROOKFIELD, WI 53005

Waukesha County (262) 754-5190

DAVID JOHN BEDRIN MSW

Social Worker (Clinical)

13105 W BLUEMOUND RD, SUITE 100
BROOKFIELD, WI 53005

Waukesha County (608) 209-5105

LYNN MARIE DUSOLD MSW, LCSW

Social Worker (Clinical)

13105 W BLUEMOUND RD, SUITE 100
BROOKFIELD, WI 53005

Waukesha County (262) 641-9790

MS. GRETCHEN M FINCKE LCSW

Social Worker (Clinical)

13105 W BLUEMOUND RD, #100
BROOKFIELD, WI 53005

Waukesha County (262) 641-9790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Northway's NPI number?

The NPI number for Roger Northway is 1053449173. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Roger Northway located?

Roger Northway practices at 13105 W Bluemound Rd Suite 100, Brookfield, WI 53005. The listed phone number is (262) 641-9790.

What is Roger Northway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Roger Northway enrolled in Medicare?

Yes. Roger Northway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roger Northway accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and Quartz and 1 other insurer list Roger Northway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roger Northway was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.