Individual provider Active NPI

Roland Weller

  • Addiction (Substance Use Disorder) Counselor
  • Arvada, CO
National Provider Identifier
1093138398
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0006103 Issued in CO
Practice address
6475 Old Wadsworth Blvd
Suite # 324
Arvada, CO 80003-4437
Phone
(303) 467-2624
Fax
(303) 431-8410
NPI assigned
Jan 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 0006103 CO Primary

Addresses

Primary practice location

6475 Old Wadsworth Blvd
Suite # 324
Arvada, CO 80003-4437

Mailing address

6475 Old Wadsworth Blvd
Suite # 324
Arvada, CO 80003-4437
Phone (303) 467-2624

Other names 1

  • Roland Weller Professional name

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
0006103COMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1093138398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 OLD WADSWORTH BLVD",
            "address_2": "SUITE # 324",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800034437",
            "telephone_number": "303-467-2624",
            "fax_number": "303-431-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 OLD WADSWORTH BLVD",
            "address_2": "SUITE # 324",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800034437",
            "telephone_number": "303-467-2624",
            "fax_number": "303-431-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "ROLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "0006103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLAND",
            "last_name": "WELLER",
            "credential": "B.S. CAC III",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.