Individual provider Active NPI

Roger Edward Niland, L.A.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Unionville, CT
National Provider Identifier
1083868368
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000502 Issued in CT
Practice address
22 Mohawk Dr
Unionville, CT 06085-1443
Phone
(860) 673-5574
NPI assigned
Nov 12, 2008
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000502 CT Primary

Addresses

Primary practice location

22 Mohawk Dr
Unionville, CT 06085-1443

Mailing address

22 Mohawk Dr
Unionville, CT 06085-1443
Phone (860) 673-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000502CTMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1083868368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MOHAWK DR",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851443",
            "telephone_number": "860-673-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOHAWK DR",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851443",
            "telephone_number": "860-673-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILAND",
        "first_name": "ROGER",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "L.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.