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MR. ROGER F WILLIS III MA, OPT, SUD
NPI 1770056491
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since January 04, 2019
4343 WILLIAMSBOURGH DR, SACRAMENTO, CA 95823(916) 395-3552 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2019, Jan 4, 2019 (2 updates tracked since 2019).

About Mr. Roger F Willis Iii Ma, Opt, Sud NPPES

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

MR. ROGER F WILLIS III MA, OPT, SUD (NPI 1770056491) is an individual addiction (substance use disorder) provider in Sacramento, California and active in the NPI registry since January 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770056491
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROGER F WILLIS IIICredential: MA, OPT, SUD
Location Address4343 WILLIAMSBOURGH DRSacramento, CA 95823-2006
Mailing Address7190 Calvine Rd Apt 22Sacramento, CA 95823-5720 · (916) 459-8001
Phone(916) 395-3552
Sole ProprietorYes
Enumeration DateJanuary 4, 2019
Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration
✔ NPI 1770056491 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
4343 WILLIAMSBOURGH DR, Sacramento, CA 95823
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Secondary Practice Locations 2

Location 110157 La Alegria DrRancho Cordova, CA 95670-3109 · Phone (916) 364-2833
Location 27190 Calvine Rd Apt 22Sacramento, CA 95823-5720 · Phone (916) 459-8001

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.

MISS LOLITA PATRICIA XUNCAX RRW
Community Health Worker
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MR. JACESON ALEXANDER SMITH RRW
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. SHANTEL PELOTE
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
LANEESHA LOWE
Counselor
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MRS. PAULINE KNKIM WASHINGTON
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
TYLER MCGEE RRW
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
DAMON COOPER
Counselor (Addiction (Substance Use Disorder))
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552
MS. MYRAN SMITH CRAWFORD
Behavior Analyst
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823
Sacramento County (916) 395-3552

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 Willis's NPI number?

The NPI number for Roger Willis is 1770056491. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Roger Willis located?

Roger Willis practices at 4343 Williamsbourgh Dr, Sacramento, CA 95823. The listed phone number is (916) 395-3552.

What is Roger Willis'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 Roger Willis was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.