Lydia Roderick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

204 Sentry LN
Martinsburg, WV 25401-2973

Phone

(410) 810-4598

NPI assigned

Apr 1, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lydia Walbert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1083418958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SENTRY LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012973",
            "telephone_number": "410-810-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SENTRY LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012973",
            "telephone_number": "410-810-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018445060",
            "country_code": "US",
            "telephone_number": "978-482-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "WALBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rocky Mountain Holdings, LLC
• Chaz Rodeheaver
• Cody Rodeheaver
• Katelyn Roden
• Lisa Dawn Roderick
• Cherie Roebuck
• Andrew Lee Rogalski, PHARM.D
• Emory Rogers
• Franklin Rogers
• Jerry Lynn Rogers

• Mental Health Counselor in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.