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Vickie Lynn Roner , LPC

Counselor β€’ Corvallis, OR

Active NPI 1194084475 Individual Practitioner Female Practitioner
Practice location in NPPES

530 Nw 27th St
Corvallis, OR 973305223

Call 5417666835 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 Nw 27th St

Corvallis, OR 973305223

Telephone 5417666835
Fax 5417666186
Organization at the Same NPPES Address or Phone
Benton County Facility NPI 1144299934

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Corvallis and Oregon

763 active clinicians are listed under Counselor with a practice address in Corvallis, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Corvallis

0% of these 763 clinicians have the CMS telehealth indicator.

0.1% of these 763 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR C0294

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500646722 (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Tara Bawel , DDS

Dentist - General Practice

NPI 1184290157

Doctor of Dental Surgery

Michael Mccusker , PA-C

Physician Assistant - Medical

NPI 1013096684

Physician Assistant (Certified)

NPI 1063485423

Doctor of Osteopathic Medicine (D.O.)

Kallie Waldrip

Student in an Organized Health Care Education/Training Program

NPI 1104283043

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Practice Location (Initial Record) July 11, 2014

Registered at 530 NW 27TH ST, CORVALLIS, OR 973305223 (Tel: 5417666835)

πŸ“
Business Mailing Address (Initial Record) July 11, 2014

Registered at 530 NW 27TH STREET, CORVALLIS, OR 973305223 (Tel: 5417666835)

πŸ‘€
Provider Name / Credentials (Initial Record) July 11, 2014

Recorded as VICKIE RONER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Counselor (license number reported to NPPES: OR C0294)

πŸ”„
NPI Profile Reactivated July 09, 2014

Record officially reactivated for active practice on July 09, 2014

⚠️
NPI Profile Deactivated February 26, 2014

NPPES lists this NPI as deactivated as of February 26, 2014; the reason is not published.

🟒
Initial NPI Registration & Enumeration May 08, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194084475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2012
Last Update: July 11, 2014
Sole Proprietor: No

Mailing Address

530 Nw 27th Street

Corvallis, OR 973305223

Phone: 5417666835

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.