Active NPI
Rogue River Counseling, LLC
- Mental Health Counselor
- Annapolis, MD
National Provider Identifier
1033620364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC6340
- Legal business name
- ROGUE RIVER COUNSELING, LLC
- Practice address
- 2007 Tidewater Colony Dr Ste 1a
Annapolis, MD 21401-2102 - Phone
- (410) 294-9300
- Fax
- (410) 294-9300
- NPI assigned
- Oct 13, 2017
- Last updated
- Jul 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Hovey, LCPC
- Title
- Owner
- Phone
- (410) 294-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC6340 | MD | Primary |
| Clinical Social Worker | 1041C0700X | MD |
Addresses
Primary practice location
2007 Tidewater Colony Dr Ste 1a
Annapolis, MD 21401-2102
Mailing address
2007 Tidewater Colony Dr Ste 1a
Annapolis, MD 21401-2102
Phone (410) 294-9300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626393600000",
"number": "1033620364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 TIDEWATER COLONY DR STE 1A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012102",
"telephone_number": "410-294-9300",
"fax_number": "410-294-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 TIDEWATER COLONY DR STE 1A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012102",
"telephone_number": "410-294-9300",
"fax_number": "410-294-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE RIVER COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-13",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "HOVEY",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-294-9300",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC6340",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.