Individual provider Active NPI

Adam Francis Rogers, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Prescott, AZ
National Provider Identifier
1053970830
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15133 Issued in AZ
Practice address
141 S McCormick St
Prescott, AZ 86303-4729
Phone
(928) 641-8131
NPI assigned
Jun 6, 2019
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Addiction (Substance Use Disorder) Counselor 101YA0400X 15133 AZ Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

141 S McCormick St
Prescott, AZ 86303-4729

Mailing address

141 S McCormick St
Prescott, AZ 86303-4729
Phone (928) 830-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15133AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Recovery Services LLC. Addiction (Substance Use Disorder) Current Accepting new patients
Adam Rogers Counseling LLC Addiction (Substance Use Disorder) CurrentSince Feb 23, 2020 Accepting new patients

Locations

12075 E State Route 69
Ste A
Dewey, AZ 86327
Phone (928) 485-4142

1000 Ainsworth Dr
Ste B215
Prescott, AZ 86305
Phone (928) 445-0744

Organizations & group practices 2

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053970830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034729",
            "telephone_number": "928-830-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034729",
            "telephone_number": "928-641-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ADAM",
        "middle_name": "FRANCIS",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15133",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.