David Edwin Roddenberry
Counselor - Mental Health
About David Edwin Roddenberry
David Edwin Roddenberry is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1962217489.
Their primary practice is located at 109 NATURE WALK PKWY UNIT 104, Saint Augustine, Florida 32092. Patients can reach the office at (407) 748-0982. David Edwin Roddenberry has been NPI-registered since 2025.
Doctor Details
Identity & Credentials
- NPI Number
- 1962217489
- Entity Type
- Individual
- First Name
- David
- Last Name
- Roddenberry
- Gender
- Male
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 109 NATURE WALK PKWY UNIT 104
- City
- Saint Augustine
- State
- Florida
- ZIP
- 32092-5065
- Country
- United States
- Phone
- (407) 748-0982
Specialty & Taxonomy
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 24 SEAHILL DR
- City
- SAINT AUGUSTINE
- State
- FL
- ZIP
- 320921112
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is David Edwin Roddenberry's NPI number?
What does David Edwin Roddenberry specialize in?
Where is David Edwin Roddenberry located?
Does David Edwin Roddenberry accept Medicare?
Does David Edwin Roddenberry offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for David Edwin Roddenberry is 1962217489.