What is Roger Pederson's NPI number?

Roger Pederson's National Provider Identifier (NPI) is 1912906058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Roger Pederson's specialty?

Roger Pederson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Roger Pederson located?

Roger Pederson's practice location on file with NPPES is 307 S Main St, Elkhart, IN 46516-3102.

What is Roger Pederson's phone number?

The practice phone number listed in the NPPES registry for Roger Pederson is (574) 523-3347.

Is Roger Pederson's NPI active?

Yes — Roger Pederson's NPI (1912906058) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Roger Pederson, LCSW

NPI 1912906058 · Counselor · Elkhart, IN

Roger Pederson, LCSW is a Counselor provider in Elkhart, IN (NPI 1912906058).

Provider details

NPI number: 1912906058
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: No
License: 34001185A (IN)

Specialties & taxonomies

CounselorPrimary101Y00000XLicense 34001185A (IN)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

307 S Main St

Suite 305

Elkhart, IN 46516-3102

Phone: (574) 523-3347

Fax: (574) 296-7560

Street-level locationGet directions

Mailing address