MR. ROGER KENNETH SANDBERG (NPI# 1770801078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770801078 |
| Entity Type | Individual |
| Full Name | MR. ROGER KENNETH SANDBERG |
| Credential | LCPC |
| Practice Address |
2911 Olney Sandy Spring Rd Ste A Olney MD 20832-3506 |
| Mailing Address |
Po Box 5205 Laytonsville MD 20882-0205 |
| Practice Telephone | 3014522743 |
| Mailing Telephone | 3014522743 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LC1046 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1046 | MD | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC29326 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2911 OLNEY SANDY SPRING RD STE A |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642004 | Plum & Clover Counseling LLC | Community/Behavioral Health | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832-3506 | 2020-06-05 |
| 1831636364 | A New Leaf Therapy, LLC | Social Worker | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832-3506 | 2017-01-23 |
| 1811215015 | Alessandra Maria Slavin | Social Worker | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832-3506 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275007148 | Stephanie R Sherrer | Counselor | 18111 Prince Philip Dr Ste 311, Olney, MD 20832-1508 | 2019-01-14 |
| 1730623224 | Sandy Burke | Counselor | 4250 E Northshore Ln, Olney, IL 62450-3759 | 2016-12-19 |
| 1619384260 | Deborah Leah Danielson | Counselor | 2303 Fort William Dr, Olney, MD 20832-1665 | 2014-07-15 |
| 1467793521 | Nooshin Kiankhooy | Counselor | 4411 Cannes Ln, Olney, MD 20832-2049 | 2013-03-13 |
| 1023382157 | Katherine C. Hankins | Counselor | 3460 Olney Laytonsville Rd, Suite 200, Olney, MD 20832-1781 | 2012-03-07 |
| 1780954404 | Kimbra Lyn Bishop | Counselor | 801 W Hamilton St, Olney, TX 76374-1723 | 2012-01-11 |
| 1083897219 | Jacqueline Ann Cyrus | Counselor | 3403 Saint Theresa Ct, Olney, MD 20832-2546 | 2007-12-11 |
| 1063587897 | Amy Jo White | Counselor | 2931 Olney Sandy Spring Rd, F, Olney, MD 20832-1527 | 2006-11-21 |
| 1467090233 | Taylor Hollingsworth | Counselor | 17904 Georgia Ave Ste 200, Olney, MD 20832-2277 | 2019-12-12 |
| 1558909333 | Kelini Coker | Counselor | 17904 Georgia Ave Ste 200, Olney, MD 20832-2277 | 2019-12-12 |
| Find all providers in OLNEY | ||||
Please comment or provide details below to improve the information on MR. ROGER KENNETH SANDBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.