Collin Roe, ADC, BS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1200 W Walnut St Ste 1115
Rogers, AR 72756-3521

Phone

(479) 785-4083

NPI assigned

Mar 23, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1679100549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S 16TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST STE 1115",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563521",
            "telephone_number": "479-785-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "COLLIN",
        "credential": "ADC, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Robles, COTA/L
• Robyn Butterfield Counseling, PLLC
• Caitlin Estelle Rochelle, MPAS
• Cynthia Rodriguez
• Nicholas John Casey Rodriguez, AG-ACNP
• Tasha Roe
• Roger Alderson, MD,PA
• Rogers Ar Ophthalmology ASC LLC
• Rogers Back to Health Chiropractic
• Rogers Back to Health Chiropractic

• Addiction (Substance Use Disorder) Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.