Active NPI
Desiree Sharnel Rodgers
- Mental Health Counselor
- Williamston, NC
National Provider Identifier
1063074813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14906
- Practice address
- 607 Washington St
Williamston, NC 27892-2645 - Phone
- (252) 508-6088
- Fax
- (252) 792-8045
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14906 | NC | Primary |
Addresses
Primary practice location
607 Washington St
Williamston, NC 27892-2645
Mailing address
2255 Lazy River Dr
Raleigh, NC 27610-6089
Phone (252) 508-6088
Other practice location 1
731 W. Fiftenth St.
Washington, NC 27889
Phone (252) 508-6088
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | desireerodgers@comprehensiveinterventionsinc.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A14906 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1063074813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 LAZY RIVER DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106089",
"telephone_number": "252-508-6088",
"fax_number": "252-792-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 WASHINGTON ST",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278922645",
"telephone_number": "252-508-6088",
"fax_number": "252-792-8045"
}
],
"practiceLocations": [
{
"address_1": "731 W. Fiftenth St.",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "NC",
"postal_code": "27889",
"country_code": "US",
"telephone_number": "252-508-6088",
"fax_number": "252-792-8045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "DESIREE",
"middle_name": "SHARNEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14906",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "desireerodgers@comprehensiveinterventionsinc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "607 Washington St",
"city": "Williamston",
"state": "NC",
"country_code": "US",
"postal_code": "278922645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.