Individual provider Active NPI

John Rogers, MA L.P.C.C.

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1043526635
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01361 Issued in MN
Practice address
3747 Minnehaha Ave Ste 206
Minneapolis, MN 55406-2858
Phone
(651) 500-6827
NPI assigned
Aug 20, 2010
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00945 MN
Professional Counselor 101YP2500X 01361 MN Primary

Addresses

Primary practice location

3747 Minnehaha Ave Ste 206
Minneapolis, MN 55406-2858

Mailing address

310 SW Industrial Way Unit 290
Bend, OR 97702-3994
Phone (651) 500-6827

Other practice location 1

377 SW Century Dr Ste 208
Bend, OR 97702-1419
Phone (651) 500-6827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 15, 2024 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00945MNMDMental Health Counselor
01361MNMDProfessional Counselor
945MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Counseling LLC Professional CurrentSince Dec 1, 2024 Accepting new patients

Locations

3747 Minnehaha Ave
Ste 204
Minneapolis, MN 55406
Phone (651) 500-6827

3747 Minnehaha Ave
Ste 206
Minneapolis, MN 55406
Phone (651) 500-6827

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1043526635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SW INDUSTRIAL WAY UNIT 290",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023994",
            "telephone_number": "651-500-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 MINNEHAHA AVE STE 206",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062858",
            "telephone_number": "651-500-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 SW Century Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021419",
            "country_code": "US",
            "telephone_number": "651-500-6827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOHN",
        "credential": "MA L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00945",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.