MARIO ALBERTO ROLDAN DE LUNA (NPI# 1972065993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972065993 |
| Entity Type | Individual |
| Full Name | MARIO ALBERTO ROLDAN DE LUNA |
| Credential | QMHP |
| Practice Address |
51 Sw Lee St Newport OR 97365-3823 |
| Mailing Address |
36 Sw Nye St Newport OR 97365-3821 |
| Practice Telephone | 5415745960 |
| Practice Fax Number | 5412650601 |
| Mailing Telephone | 5412650581 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
51 SW LEE ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525113 | Marie Ann Laper | Social Worker | 51 Sw Lee St, Newport, OR 97365-3823 | 2005-11-17 |
| 1861023947 | Gwyn Denise Kingery | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-28 |
| 1013547371 | Jase Eli Pecanha | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-24 |
| 1083244891 | Diana Xalteno Vasquez | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-21 |
| 1841835378 | Eric Viola | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-11-07 |
| 1255986287 | Amanda N Schmerber | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-08-06 |
| 1538624614 | Shandi Marceen Hoey | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-02-04 |
| 1790249183 | Katja Brown | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-01-30 |
| 1841767068 | Treva Lynn Leslie | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2018-10-25 |
| 1083102461 | Jodie Lynn Pereira | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134770332 | Kenneth Wood | Counselor | 1376 Fruitvale Rd # Day, Newport, OR 97365-9671 | 2019-09-28 |
| 1063901866 | Sheryl M Patzer | Counselor | 332 Sw Coast Hwy, Newport, OR 97365-4928 | 2018-05-07 |
| 1164810628 | Dorinda Howden | Counselor | 529 Ne 62nd St, Newport, OR 97365-1268 | 2015-01-06 |
| 1164837852 | Catherine Rossi | Counselor | 2858 Pine Hill Rd, Newport, VT 05855-9293 | 2014-06-22 |
| 1558607390 | Stephen Allen Picken | Counselor | 547 Sw 7th St, Newport, OR 97365-4909 | 2012-12-26 |
| 1982923728 | Sean D Ryan | Counselor | 856 Upper Quarry Rd, Newport, VT 05855-8878 | 2010-05-19 |
| 1538383211 | R. Alan Aiken | Counselor | 477 Lane Rd, Newport, VT 05855-8749 | 2007-04-12 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1578696753 | Lyla Hill | Counselor | 132 Ne 15th St Ste D, Newport, OR 97365-2210 | 2007-03-14 |
| 1104978824 | Pend Oreille County | Counselor | 105 South Garden Ave, Newport, WA 99156-5055 | 2007-01-16 |
| Find all providers in NEWPORT | ||||
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| 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.