Kim Robert Rogers, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1854 Issued in NC

Practice address

1140 Holly Springs Road #207
Holly Springs, NC 27529

Phone

(702) 374-3284

Fax

(919) 800-3060

NPI assigned

Jul 29, 2017

Last updated

Jul 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1972644334
  NPD
• Donna R B Rogers PLLC

  • Clinical Psychologist
  • Holly Springs, NC
  • NPI 1811222342

  Single Specialty

  NPD (past)
• Monarch

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1831465442
  NPD (past)

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501286400000",
    "number": "1073037271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 PROSPECT PARKWAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038359",
            "telephone_number": "702-374-3284",
            "fax_number": "919-800-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS ROAD #207",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "702-374-3284",
            "fax_number": "919-800-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIM",
        "middle_name": "ROBERT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Rode, M.ED., CCC-SLP
• Quinn Kennedy Roderick
• Darlin Rodriguez
• Sarah J. Roe, LCSW
• Donna R Rogers, PHD
• Stephanie Rosecrans, DPT
• Sarah Elizabeth Rowan, RD, LD
• RS Eye Care, OD, PA
• Brandon Jornel Ruiz, DPT
• Jeffrey Andrew Rup, RPH

• Marriage & Family Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.