Gerald Rogers, M.a., M.S.W., PH.D., P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00732 Issued in TX

Legal business name

GERALD ROGERS, M.A., M.S.W., PH.D., P.A.

Doing business as

West Pines on Golden Pond

Practice address

7480 Golden Pond PL
Suite 400
Amarillo, TX 79121-1962

Phone

(806) 354-9996

Fax

(806) 354-9995

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Gerald W Rogers, LCSW, LPC

Title

Owner

Phone

(806) 354-9996

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• West Pines on Golden Pond Doing business as

Tax ID family

Gerald Rogers Ma MSW PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gerald W Rogers M.a.,M.S.W.,PHD,P.a.

  • Clinical Social Worker
  • Amarillo, TX
  • NPI 1295953156
  NPD tax ID

Locations

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1033444328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50660",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590660",
            "telephone_number": "806-354-9996",
            "fax_number": "806-354-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 GOLDEN POND PL",
            "address_2": "SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211962",
            "telephone_number": "806-354-9996",
            "fax_number": "806-354-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD ROGERS, M.A., M.S.W., PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-354-9996",
        "authorized_official_credential": "LCSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "2622",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "00732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "154282",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064242301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "122754101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pines on Golden Pond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chinyere Chinomso George, M.D.
• Chloe Grace Mychele George
• Mariada George, MD
• Pamela Dawn George, LPC
• Reagan George
• Gerald W Rogers M.a.,M.S.W.,PHD,P.a.
• Kristin Gerber, MS,CCC-SLP
• Paige Gerber, COTA
• Stephanie Gerber, PTA
• Mark A Gerig, DPM

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.