Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Roger Kennedy

Individual provider Counselor · NPI 1891303152

Mr. Roger Kennedy is a Mental Health Counselor in Roseburg, Oregon. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1652 NW Hughwood Ct
Roseburg, OR 97471-8844
Phone: (541) 673-3985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7069 (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1891303152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2020
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address1652 Nw Hughwood Ct, Roseburg, OR 97471-8844

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roseburg