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DAVID EDWIN RODDENBERRY
NPI 1962217489
Counselor - Mental Health in Saint Augustine, FL

Active since February 11, 2025
109 NATURE WALK PKWY UNIT 104, SAINT AUGUSTINE, FL 32092(407) 748-0982 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2025, Feb 11, 2025 (2 updates tracked since 2025).

About David Edwin Roddenberry NPPES

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

DAVID EDWIN RODDENBERRY (NPI 1962217489) is an individual mental health provider in Saint Augustine, Florida, licensed in Florida (MH25268) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1962217489
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID EDWIN RODDENBERRY
Location Address109 NATURE WALK PKWY UNIT 104Saint Augustine, FL 32092-5065
Mailing Address24 Seahill DrSaint Augustine, FL 32092-1112 · (407) 748-0982
Phone(407) 748-0982
Sole ProprietorYes
Enumeration DateFebruary 11, 2025
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1962217489 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 FL · MH25268
109 NATURE WALK PKWY UNIT 104, Saint Augustine, FL 32092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

AUTHENTICALLY YOU, LLC
Community/Behavioral Health
109 NATURE WALK PKWY UNIT 104
SAINT AUGUSTINE, FL 32092
St. Johns County (904) 629-1565
LINDA RITCH
Counselor (Mental Health)
109 NATURE WALK PKWY UNIT 104
ST AUGUSTINE, FL 32092
St. Johns County (904) 710-7586
REFORGED IN FAITH LLC
Counselor (Mental Health)
109 NATURE WALK PKWY UNIT 104
ST AUGUSTINE, FL 32092
St. Johns County (407) 748-0982

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 David Roddenberry's NPI number?

The NPI number for David Roddenberry is 1962217489. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is David Roddenberry located?

David Roddenberry practices at 109 Nature Walk Pkwy Unit 104, Saint Augustine, FL 32092. The listed phone number is (407) 748-0982.

What is David Roddenberry's specialty?

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

What insurance does David Roddenberry accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list David Roddenberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Roddenberry was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.