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ROGER TODD DEWILDE M.ED. LPC-MHSP(TEMP)
NPI 1871019034
Counselor - Mental Health in Gallatin, TN

Active since August 19, 2017PECOS Enrolled
332 SUMNER HALL DR, GALLATIN, TN 37066(615) 460-4500 Get Directions Write a Review

NPPES record last updated: August 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger Todd Dewilde M.ed. Lpc-mhsp(temp) NPPES

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

ROGER TODD DEWILDE M.ED. LPC-MHSP(TEMP) (NPI 1871019034) is an individual mental health provider in Gallatin, Tennessee, licensed in Tennessee (3695) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871019034
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROGER TODD DEWILDECredential: M.ED. LPC-MHSP(TEMP)
Location Address332 SUMNER HALL DRGallatin, TN 37066-3129
Mailing Address332 Sumner Hall DrGallatin, TN 37066-3129 · (615) 460-4500
Phone(615) 460-4500
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 19, 2017
✔ NPI 1871019034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 3695
332 SUMNER HALL DR, Gallatin, TN 37066
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Todd Dewilde M.ed. Lpc-mhsp(temp) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991286510
PECOS Enrollment IDI20260223000633
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.

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.

ALLISON FAYE WORDEN
Case Manager/Care Coordinator
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
AMBER ALLGOOD MILLER M.ED
Counselor
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4502
JASON MINER
Social Worker (Clinical)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
CHRISTIE MCCULLOUGH
Counselor (Mental Health)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
KAYLA MARIE KELLEY
Counselor (Mental Health)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
REBECKA J WARREN MS LPC MHSP
Counselor (Mental Health)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
MATTHEW SADLER LPC-MHSP
Counselor (Mental Health)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500
STACY ANGUS M.ED.
Counselor (Mental Health)
332 SUMNER HALL DR
GALLATIN, TN 37066
Sumner County (615) 460-4500

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 Dewilde's NPI number?

The NPI number for Roger Dewilde is 1871019034. It was assigned to this individual provider in the NPPES registry on August 19, 2017.

Where is Roger Dewilde located?

Roger Dewilde practices at 332 Sumner Hall Dr, Gallatin, TN 37066. The listed phone number is (615) 460-4500.

What is Roger Dewilde's specialty?

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

Is Roger Dewilde enrolled in Medicare?

Yes. Roger Dewilde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roger Dewilde was last updated on August 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.