MR. ROGER BANTHER LCSW
NPI 1487907606
Social Worker - Clinical in Salem, OR

Q: What is Roger Banther's NPI number?

The NPI number for Roger Banther is 1487907606. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Q: What is Roger Banther's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Roger Banther was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 25, 2012PECOS Enrolled

1233 EDGEWATER ST NW, SALEM, OR 97304(503) 378-7526(503) 480-1630 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Jul 13, 2018 (2 updates tracked since 2018).

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About Mr. Roger Banther Lcsw NPPES

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

MR. ROGER BANTHER LCSW (NPI 1487907606) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L7065) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487907606

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. ROGER BANTHERCredential: LCSW

Location Address1233 EDGEWATER ST NWSalem, OR 97304

Mailing Address3872 Ash Ave SeSalem, OR 97302-4703 · (206) 650-1543

Phone(503) 378-7526

Fax(503) 480-1630

Sole ProprietorNo

Enumeration DateOctober 25, 2012

Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1487907606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L7065

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1233 EDGEWATER ST NW, Salem, OR 97304

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Secondary Practice Locations 2

Location 11002 N Boones Ferry RdWoodburn, OR 97071-9602 · Phone (503) 981-9526

Location 23872 Ash Ave SESalem, OR 97302-4703 · Phone (971) 720-6820 · Fax (971) 720-6820

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Roger Banther Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TAMMY COOK

Counselor (Mental Health)