DR. ROGER DALE GISSEMAN PH.D.
NPI 1619267549
Counselor - Professional in Salt Lake City, UT

Active since April 12, 2011
177 PRICE AVE, SALT LAKE CITY, UT 84115(385) 468-4531 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roger Dale Gisseman Ph.d. NPPES

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

DR. ROGER DALE GISSEMAN PH.D. (NPI 1619267549) is an individual professional provider in Salt Lake City, Utah, licensed in Utah (3162878-6004) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1619267549
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ROGER DALE GISSEMANCredential: PH.D.
Location Address177 PRICE AVESalt Lake City, UT 84115-4345
Mailing Address3429 S 3570 ESalt Lake City, UT 84109-3243 · (801) 598-7922
Sole ProprietorYes
Enumeration DateApril 12, 2011
NPI 1619267549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in UT · 3162878-6004
177 PRICE AVE, Salt Lake City, UT 84115

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
177 PRICE AVE
SALT LAKE CITY, UT 84115
Case Manager/Care Coordinator
177 PRICE AVE
SOUTH SALT LAKE, UT 84115
Case Manager/Care Coordinator
177 PRICE AVE
SALT LAKE CITY, UT 84115
Counselor (Professional)
177 PRICE AVE
SALT LAKE CITY, UT 84115
Counselor (Professional)
177 PRICE AVE
SALT LAKE CITY, UT 84115
Counselor (Professional)
177 PRICE AVE
SOUTH SALT LAKE, UT 84115
Social Worker (Clinical)
177 PRICE AVE
SOUTH SALT LAKE, UT 84115
Recreation Therapist
177 PRICE AVE
SALT LAKE CITY, UT 84115

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 Gisseman's NPI number?

The NPI number for Roger Gisseman is 1619267549. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Roger Gisseman located?

Roger Gisseman practices at 177 Price Ave, Salt Lake City, UT 84115. The listed phone number is (385) 468-4531.

What is Roger Gisseman's specialty?

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

When was this NPI record last updated?

The NPPES record for Roger Gisseman was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.