Roger Gunther, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149004065 Issued in IL

Practice address

4 Rock Hill CT
Edwardsville, IL 62025-1241

Phone

(618) 656-4847

Fax

(618) 656-4847

NPI assigned

Mar 20, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John E Forhetz PHD

  • Clinical Psychologist
  • Collinsville, IL
  • NPI 1407928302
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1427017359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCK HILL CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251241",
            "telephone_number": "618-656-4847",
            "fax_number": "618-656-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROCK HILL CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251241",
            "telephone_number": "618-656-4847",
            "fax_number": "618-656-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "ROGER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HMO & PPO",
            "identifier": "772111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "048669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "06032156",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO - HMO",
            "identifier": "215100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Griffith, RBT
• Andrea Kaye Grotefendt, MS, CCC-SLP
• John Joseph Gruber, RPH, CGP, FASCP
• Jingshu Guan
• Katherine Gullick
• Theresa Marie Haase, SRNA
• Hal Patton, D.D.S., P.C.
• Brittne Hall, COTA/L
• Cierra Hall, CCC-SLP
• Winter Noel Tucker Hall, LCPC

• Clinical Social Worker in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.