Organization Active NPI

Rogue River Counseling, LLC

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1033620364
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6340 Issued in MD
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Jason Hovey, LCPCNPI 1730510009
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.