Active NPI
Wendell A Roscoe, MASTERS DEGREE
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1144472499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 444
- Practice address
- 1700 S 24TH St Ste 2
Lincoln, NE 68502-3003 - Phone
- (402) 890-2101
- Fax
- (402) 488-0361
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 444 | NE | Primary |
Addresses
Primary practice location
1700 S 24TH St Ste 2
Lincoln, NE 68502-3003
Mailing address
700 Capitol Beach Blvd
Lincoln, NE 68528-1025
Phone (402) 538-5908
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 |
|---|---|---|---|
| 444 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1144472499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CAPITOL BEACH BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685281025",
"telephone_number": "402-538-5908",
"fax_number": "402-438-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S 24TH ST STE 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023003",
"telephone_number": "402-890-2101",
"fax_number": "402-488-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOE",
"first_name": "WENDELL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MASTERS DEGREE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.