William Roedel, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY00003762 Issued in WA

Practice address

7614 195TH St SW Ste 101
Edmonds, WA 98026-6260

Phone

(425) 775-4059

NPI assigned

Feb 21, 2011

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluestone Psychological Services LLCGroup PAC ID 6305174806, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Bluestone Psychological Services, LLC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1811269624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1356648794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N HERRON RD NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498009",
            "telephone_number": "425-599-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 195TH ST SW STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266260",
            "telephone_number": "425-775-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDEL",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY00003762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Robin, PA-C
• Mary Ann Robinson Lutz
• John Wellington Robinson, M.D.
• Timothy M Roddy, MD
• Richard Dean Rodriguez, PHARMD
• Beverly Nan Rogers, LMP
• Catherine A Rogers, MD
• Chelsea Rogers, OTR/L
• Mallory Rogers, RN
• Shawn E Rogers, M.D.

• Counseling Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.