Mr Roger P Anderson, LCPC - Counselor in Peoria, IL

Mr Roger P Anderson, LCPC is a Counselor - Mental Health based in Peoria, Illinois. Mr Roger P Anderson is licensed to practice in Illinois (license number 180.000673) and his current practice location is 3400 W New Leaf Ln, Peoria, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 692-6900.

NPI number for Mr Roger P Anderson is 1497981815 and his current mailing address is 600 Fayette St, Po Box 1346, Peoria, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497981815.

Contact Information

Mr Roger P Anderson, LCPC
3400 W New Leaf Ln,
Peoria, IL 61615-3311
(309) 692-6900
(309) 689-3086

Map and Direction


Healthcare Provider's Profile

Full NameMr Roger P Anderson
GenderMale
SpecialityCounselor - Mental Health
Location3400 W New Leaf Ln, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497981815
  • Provider Enumeration Date: 06/01/2009
  • Last Update Date: 06/01/2009

Medical Identifiers

Medical identifiers for Mr Roger P Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497981815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 180.000673 (Illinois)Primary
101YP2500XCounselor - Professional (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger P Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Roger P Anderson, LCPC
600 Fayette St, Po Box 1346,
Peoria, IL 61603-3610

Ph: (309) 671-8000
Mr Roger P Anderson, LCPC
3400 W New Leaf Ln,
Peoria, IL 61615-3311

Ph: (309) 692-6900

Reviews and Comments


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