Marcia Renee Roodhouse, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-003087 Issued in IL

Practice address

1420 East Carroll Street
Macomb, IL 61455

Phone

(309) 255-2931

Fax

(309) 776-4349

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1285767335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 EAST CARROLL STREET",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-255-2931",
            "fax_number": "309-776-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 EAST CARROLL STREET",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-255-2931",
            "fax_number": "309-776-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROODHOUSE",
        "first_name": "MARCIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006026203",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003087",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "180-003087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "2006026203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sellers Roberts, L.C.P.C.
• Jamal Robinson
• Robyn Alley-Hay, M.D. Woman to Woman
• Trudy Rodenberg, MS,CCC-SLP
• George Roodhouse, D.O
• Ladawna Jo Royer, APN
• Sara Harrison Ryan
• Dennis Ray Samuelson, M.D.
• Michelle Deann Sargeant, CCC-SLP/L
• Gary Lee Sash, DC MS

• Professional Counselor in Macomb, IL
• Providers in Macomb, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.