DR. ROGER WALLACE PLANTIKOW D.MIN.
NPI 1972719623
Marriage & Family Therapist in Springfield, NJ

Active since May 16, 2007Opted out of Medicare · through Feb 26, 2028
500 MORRIS AVE, SUITE 320, SPRINGFIELD, NJ 07081(973) 376-6336(973) 376-7304 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Roger Wallace Plantikow D.min. NPPES

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

DR. ROGER WALLACE PLANTIKOW D.MIN. (NPI 1972719623) is an individual marriage & family therapist in Springfield, New Jersey, licensed in New Jersey (37FI00038300) and active in the NPI registry since May 2007. He has opted out of Medicare through February 26, 2028.

NPPES Registry Identity

NPI1972719623
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. ROGER WALLACE PLANTIKOWCredential: D.MIN.
Location Address500 MORRIS AVE, SUITE 320Springfield, NJ 07081-1027
Mailing Address500 Morris Ave, Suite 302Springfield, NJ 07081-1027 · (973) 376-6336 · Fax (973) 376-7304
Fax(973) 376-7304
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateSeptember 2, 2014
NPI 1972719623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NJ · 37FI00038300
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 972
500 MORRIS AVE, Springfield, NJ 07081

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Roger Wallace Plantikow D.min. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2024 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2024
Opt-Out In Effect ThroughFebruary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Social Worker (Clinical)
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Art Therapist
500 MORRIS AVE, SUITE 105
SPRINGFIELD, NJ 07081
Counselor (Professional)
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Social Worker
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Social Worker
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Speech-Language Pathologist
500 MORRIS AVE
SPRINGFIELD, NJ 07081
Counselor (Pastoral)
500 MORRIS AVE, SUITE 302
SPRINGFIELD, NJ 07081

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 Plantikow's NPI number?

The NPI number for Roger Plantikow is 1972719623. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Roger Plantikow located?

Roger Plantikow practices at 500 Morris Ave Suite 320, Springfield, NJ 07081. The listed phone number is (973) 376-6336.

What is Roger Plantikow's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Roger Plantikow enrolled in Medicare?

No. Roger Plantikow has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Roger Plantikow was last updated on September 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.