Roger Heeren

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2229 Issued in NC

Practice address

12255 Lodge Rd
Middlesex, NC 27557-7452

Phone

(512) 635-3544

NPI assigned

Jan 12, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Log Cabin Counseling

  • Marriage & Family Therapist
  • Middlesex, NC
  • NPI 1093609109
  NPD Authorized official
• Professional Counseling Associates PLLC

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1649714643
  NPD

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1376780437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 LODGE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577452",
            "telephone_number": "512-635-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 LODGE RD",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275577452",
            "telephone_number": "512-635-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Merton Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096609",
            "country_code": "US",
            "telephone_number": "512-635-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEEREN",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DO Therapy 198, PLLC
• Crystal Crew Finnegan, DDS
• Free Will Baptist Childrens Home, Inc.
• Mariel Marie Gampe, MS RD LDN
• Maria Manuela Garcia Hawley
• Homes2Any LLC
• KMG Holdings, Inc
• KMG Holdings, Inc.
• KMG Holdings, Inc.
• Lane and Associates XXXV DDS PA

• All providers in Middlesex, NC
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.