MR. ROGER A PEDERSON LCSW
NPI 1912906058
Counselor in Elkhart, IN

Q: What is Roger Pederson's NPI number?

The NPI number for Roger Pederson is 1912906058. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Roger Pederson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roger Pederson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 20, 2005

307 S MAIN ST, SUITE 305, ELKHART, IN 46516(574) 523-3347(574) 296-7560 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Roger A Pederson Lcsw NPPES

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

MR. ROGER A PEDERSON LCSW (NPI 1912906058) is an individual counselor in Elkhart, Indiana, licensed in Indiana (34001185A) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1912906058

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. ROGER A PEDERSONCredential: LCSW

Location Address307 S MAIN ST, SUITE 305Elkhart, IN 46516-3102

Mailing Address307 S Main St, Suite 305Elkhart, IN 46516-3102 · (574) 523-3347 · Fax (574) 296-7560

Phone(574) 523-3347

Fax(574) 296-7560

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912906058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IN · 34001185A

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.

307 S MAIN ST, Elkhart, IN 46516

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Other Identifiers 2

Medicare UPINP04651

Medicare ID-Type Unspecified145540F

Other Providers at the Same Location NPPES

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

MS. GLORIA JEANNE BARKER CNS, APRN, BC

Counselor

307 S MAIN ST, SUITE 305
ELKHART, IN 46516

Elkhart County (574) 523-3347

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 Pederson's NPI number?

The NPI number for Roger Pederson is 1912906058. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Roger Pederson located?

Roger Pederson practices at 307 S Main St Suite 305, Elkhart, IN 46516. The listed phone number is (574) 523-3347.

What is Roger Pederson'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 Pederson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.