Active NPI
Randi Michelle Roggeman, LPC
- Counselor
- Mesa, AZ
National Provider Identifier
1104982859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-2209
- Practice address
- 2500 S. Power Rd Ste 108
Mesa, AZ 85209 - Phone
- (480) 985-0333
- Fax
- (480) 768-1564
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-2209 | AZ | |
| Counselor | 101Y00000X | LPC-2209 | AZ | Primary |
Addresses
Primary practice location
2500 S. Power Rd Ste 108
Mesa, AZ 85209
Mailing address
2500 S. Power Rd Ste 108
Mesa, AZ 85209
Phone (480) 985-0333
Other names 1
- Randi Michelle Herman-Roggeman
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-2209 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1104982859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S. POWER RD STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "85209",
"telephone_number": "480-985-0333",
"fax_number": "480-768-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S. POWER RD STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "85209",
"telephone_number": "480-985-0333",
"fax_number": "480-768-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGGEMAN",
"first_name": "RANDI",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-2209",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-2209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANDI",
"last_name": "HERMAN-ROGGEMAN",
"middle_name": "MICHELLE",
"credential": "MC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.