ROGER BEAUDRY
NPI 1912045832
Counselor in San Mateo, CA

Active since February 02, 2007
1720 S AMPHLETT BLVD, SUITE 123, SAN MATEO, CA 94402(650) 578-8691(650) 578-8697 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roger Beaudry NPPES

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

ROGER BEAUDRY (NPI 1912045832) is an individual counselor in San Mateo, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1912045832
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROGER BEAUDRY
Location Address1720 S AMPHLETT BLVD, SUITE 123San Mateo, CA 94402-2702
Mailing Address118 Escanyo DrSouth San Francisco, CA 94080-4134 · (650) 583-9120
Fax(650) 578-8697
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912045832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1720 S AMPHLETT BLVD, San Mateo, CA 94402

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.

Marriage & Family Therapist
1720 S AMPHLETT BLVD, SUITE 220
SAN MATEO, CA 94402
Marriage & Family Therapist
1720 S AMPHLETT BLVD, #118
SAN MATEO, CA 94402
Counselor
1720 S AMPHLETT BLVD, SUITE 123
SAN MATEO, CA 94402
Psychologist
1720 S AMPHLETT BLVD, SUITE 123
SAN MATEO, CA 94402
Counselor
1720 S AMPHLETT BLVD, SUITE 123
SAN MATEO, CA 94402
Marriage & Family Therapist
1720 S AMPHLETT BLVD, SUITE #123
SAN MATEO, CA 94402
Marriage & Family Therapist
1720 S AMPHLETT BLVD, SUITE 220-I
SAN MATEO, CA 94402
Marriage & Family Therapist
1720 S AMPHLETT BLVD, # 118
SAN MATEO, CA 94402

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 Beaudry's NPI number?

The NPI number for Roger Beaudry is 1912045832. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Roger Beaudry located?

Roger Beaudry practices at 1720 S Amphlett Blvd Suite 123, San Mateo, CA 94402. The listed phone number is (650) 578-8691.

What is Roger Beaudry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Roger Beaudry was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.