Individual provider Active NPI

Thomas E Rodgers Jr., MA, NCC, LPC, CADC1

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1306148259
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3278 Issued in OR
Practice address
300 SE Reed Market Rd Ste 280
Bend, OR 97702-3817
Phone
(541) 871-7024
Fax
(888) 810-2993
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11-06-64 OR
Mental Health Counselor 101YM0800X C3278 OR Primary

Addresses

Primary practice location

300 SE Reed Market Rd Ste 280
Bend, OR 97702-3817

Mailing address

300 SE Reed Market Rd Ste 280
Bend, OR 97702-3817
Phone (541) 871-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520004520 OR Practitioner - Mental Health Counselor 8022587864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2460 NW Troost St
Suite 1
Roseburg, OR 97471-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C3278ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Therapy LLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1306148259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023817",
            "telephone_number": "541-871-7024",
            "fax_number": "888-810-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD STE 280",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023817",
            "telephone_number": "541-871-7024",
            "fax_number": "888-810-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MA, NCC, LPC, CADC1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-06-64",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.