Individual provider Active NPI

Jeremy Rogers, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1003360579
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013085 Issued in CO
Practice address
4570 Hilton Pkwy Ste 202D
Colorado Springs, CO 80907-3566
Phone
(719) 432-9222
Fax
(719) 960-2894
NPI assigned
Aug 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0013085 CO Primary

Addresses

Primary practice location

4570 Hilton Pkwy Ste 202D
Colorado Springs, CO 80907-3566

Mailing address

4570 Hilton Pkwy Ste 202D
Colorado Springs, CO 80907-3566
Phone (719) 432-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909001726 CO Practitioner - Mental Health Counselor 3476055369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4570 Hilton Pkwy
Suite 202D
Colorado Springs, CO 80907-3551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0013085COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Waves LLC Professional CurrentSince Aug 9, 2020 Accepting new patients
Colorado Motion Professional Current Accepting new patients
Colorado Motion Professional CurrentSince Jul 6, 2025 Accepting new patients

Locations

731 N Weber St
Ste 205
Colorado Springs, CO 80903
Phone (719) 339-6147

4570 Hilton Pkwy
Ste 202D
Colorado Springs, CO 80907
Phone (719) 422-5029

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003360579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 202D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073566",
            "telephone_number": "719-432-9222",
            "fax_number": "719-960-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 HILTON PKWY STE 202D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073566",
            "telephone_number": "719-432-9222",
            "fax_number": "719-960-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JEREMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.