MR. ROGER P ANDERSON LCPC
NPI 1497981815
Counselor - Mental Health in Peoria, IL

Active since June 01, 2009
3400 W NEW LEAF LN, PEORIA, IL 61615(309) 692-6900(309) 689-3086 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Roger P Anderson Lcpc NPPES

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

MR. ROGER P ANDERSON LCPC (NPI 1497981815) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180.000673) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1497981815
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ROGER P ANDERSONCredential: LCPC
Location Address3400 W NEW LEAF LNPeoria, IL 61615-3311
Mailing Address600 Fayette St, Po Box 1346Peoria, IL 61603-3610 · (309) 671-8000 · Fax (309) 671-8039
Fax(309) 689-3086
Sole ProprietorNo
Enumeration DateJune 1, 2009
NPI 1497981815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.000673
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3400 W NEW LEAF LN, Peoria, IL 61615

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
3400 W NEW LEAF LN
PEORIA, IL 61615
Social Worker (Clinical)
3400 W NEW LEAF LN
PEORIA, IL 61615
Social Worker (Clinical)
3400 W NEW LEAF LN
PEORIA, IL 61615
Counselor (Addiction (Substance Use Disorder))
3400 W NEW LEAF LN
PEORIA, IL 61615
Social Worker (Clinical)
3400 W NEW LEAF LN
PEORIA, IL 61615
Counselor (Mental Health)
3400 W NEW LEAF LN
PEORIA, IL 61615
Counselor (Addiction (Substance Use Disorder))
3400 W NEW LEAF LN
PEORIA, IL 61615
Clinic/Center (Mental Health (Including Community Mental Health Center))
3400 W NEW LEAF LN
PEORIA, IL 61615

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 Anderson's NPI number?

The NPI number for Roger Anderson is 1497981815. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Roger Anderson located?

Roger Anderson practices at 3400 W New Leaf Ln, Peoria, IL 61615. The listed phone number is (309) 692-6900.

What is Roger Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roger Anderson was last updated on June 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.