Individual provider

Hollis Kadesh, LPC

Counselor Marriage & Family Therapist Medicare enrolled

Hollis Kadesh, LPC is a Counselor in Roseburg, OR, registered under NPI 1124130158. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1652 NW HUGHWOOD CT, Roseburg, OR 97471. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1652 NW HUGHWOOD CT, Roseburg, OR 97471 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1236LCPC MT Counselor primary
MFC36003 CA Marriage & Family Therapist

Licences are recorded in 2 states: MT, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
3476043985
Enrollment ID
I20251104001474

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Montana. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
MFC36003
Specialty
Marriage & Family Therapist
Verify with the CA board →
MT Montana
Licence
1236LCPC
Specialty
Counselor
Verify with the MT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Counselor covers

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. NUCC Health Care Provider Taxonomy, code 101Y00000X
Behavioral Health & Social Service Providers Counselor

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101Y00000X Counselor 1236LCPC MT primary
106H00000X Marriage & Family Therapist MFC36003 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124130158 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 31, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialLPC
Practice address 1652 NW HUGHWOOD CT
Roseburg, OR 97471
(541) 673-3985
Fax (541) 673-8060
Mailing address 110 S PARK CT
Roseburg, OR 97471
Other identifiers 500856906 · Medicaid (OR)
0257193 · Medicaid (MT)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124130158 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 3 0 1 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 3 0 1 1

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124130158?
NPI 1124130158 is the National Provider Identifier assigned to Hollis Kadesh, LPC in Roseburg, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Counselor cover?
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.
How do I contact Hollis Kadesh, LPC?
The phone number on file with NPPES is (541) 673-3985, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Hollis Kadesh, LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124130158 a valid number?
Yes. 1124130158 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.