Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roger Todd Dewilde, MEDLPC-MHSPTEMP

Individual provider Mental Health Counselor · NPI 1871019034

Roger Todd Dewilde, MEDLPC-MHSPTEMP is a Mental Health Counselor in Gallatin, Tennessee. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2017
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Practice location Address checks out

332 Sumner Hall Dr
Gallatin, TN 37066-3129
Phone: (615) 460-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3695 (TN)

Record details

NPI number1871019034
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDLPC-MHSPTEMP
Sole proprietorYes
NPI enumeratedAugust 19, 2017
Last updated in NPPESAugust 19, 2017

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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