Roseburg Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROSEBURG THERAPY LLC

Practice address

2460 NW Troost St
Roseburg, OR 97471-7704

Phone

(541) 900-4285

Fax

(888) 810-2993

NPI assigned

Apr 3, 2018

Last updated

Apr 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Josh Lydon, LCSW L7631NPI 1407137235

Title

Owner/Operator

Phone

(541) 620-0425

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 129

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Elizabeth Smith Cox, LCSW

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1518154152
  Medicare reassignment Care Compare group NPD
• Robert Josh Lydon

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1407137235

  Mental Health

  Medicare reassignment NPD Authorized official
• Kathleen Borden, LCSW

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1508313503

  Mental Health

  Medicare reassignment Care Compare group NPD (past)
• Becky Lynn Thompson, MSAC, LPC

  • Counselor
  • Roseburg, OR
  • NPI 1821749128
  Medicare reassignment Care Compare group NPD (past)
• Tristan Daimon Adrian, MSW

  • Clinical Social Worker
  • Dallas, OR
  • NPI 1427567387
  Medicare reassignment Care Compare group
• Tina Marie Amaral, MA

  • Mental Health Counselor
  • Milwaukie, OR
  • NPI 1871894113
  Medicare reassignment Care Compare group
• Nathan K Caulder, LCSW

  • Clinical Social Worker
  • Salem, OR
  • NPI 1386306546
  Medicare reassignment Care Compare group
• Molly C Collins, LCSW

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1447387964
  Medicare reassignment Care Compare group
• Nathan Heydari

  • Counselor
  • Portland, OR
  • NPI 1790252872
  Medicare reassignment Care Compare group
• Sarah Lynne Kushner, MS

  • Mental Health Counselor
  • Happy Valley, OR
  • NPI 1689274821
  Medicare reassignment Care Compare group
• Shalmaneser E. Lester, LPC

  • Mental Health Counselor
  • West Linn, OR
  • NPI 1992197594
  Medicare reassignment Care Compare group
• Melanie Ruth Middleton, LPC

  • Mental Health Counselor
  • North Bend, OR
  • NPI 1366781361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1538665013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974717704",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974717704",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5075 SW Griffith Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053047",
            "country_code": "US",
            "telephone_number": "541-623-0425",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 NW Walnut Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303890",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3709 Citation Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975049022",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Island Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978503539",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 SE Lake Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972222129",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 State St Ste G750",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973017012",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 SE Reed Market Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023817",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 E 11th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013656",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974201632",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Old Salem Rd NE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973214539",
            "country_code": "US",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSEBURG THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "LYDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "541-620-0425",
        "authorized_official_credential": "LCSW L7631"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500743892",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseburg Heart Associates PC
• Roseburg Massage Health & Beauty Spa, LLC
• Roseburg Oncology PC
• Roseburg Radiologists P C
• Roseburg Therapy LLC
• Roseburg VA Health Care System
• Roseburg VA Healthcare System
• Roseburg Vamc
• Roseburg Vamc
• Warren Thomas Roseland Jr., MSN, RN, FNP-C

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.