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RANDALL BLAKE NEIDHART CADC
NPI 1245791987
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since March 26, 2019
621 W MADRONE ST, ROSEBURG, OR 97470(541) 671-6838 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall Blake Neidhart Cadc NPPES

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

RANDALL BLAKE NEIDHART CADC (NPI 1245791987) is an individual addiction (substance use disorder) provider in Roseburg, Oregon and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1245791987
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDALL BLAKE NEIDHARTCredential: CADC
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address621 W Madrone StRoseburg, OR 97470-3090 · (541) 671-6838
Phone(541) 671-6838
Sole ProprietorYes
Enumeration DateMarch 26, 2019
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1245791987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
621 W MADRONE ST, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

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

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Randall Neidhart's NPI number?

The NPI number for Randall Neidhart is 1245791987. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Randall Neidhart located?

Randall Neidhart practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 671-6838.

What is Randall Neidhart's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randall Neidhart was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.