Nicole Rogers, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19645 Issued in AZ

Practice address

29858 N Tatum Blvd # 100
Cave Creek, AZ 85331-5865

Phone

(480) 923-6267

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cornerstone Healing Center, LLC

  dba Cornerstone Healing Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1154823680

  Mental Health

  NPD (past)
• Cornerstone Healing Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1649958760
  NPD (past)
• Cornerstone Healing Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1710556808

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1093464752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E GUADALUPE RD APT 11206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344692",
            "telephone_number": "480-343-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29858 N TATUM BLVD # 100",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315865",
            "telephone_number": "480-923-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "19645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81261553",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hr@buenavistarecovery.com",
            "affiliation": "Y",
            "endpointDescription": "secure",
            "affiliationName": "Buena Vista Recovery",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "nrogers0202@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "29858 N Tatum Blvd # 100",
            "city": "Cave Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853315865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marla A Riney, LMSW
• Abbey Marie Roberts, MS, RDN, CD
• William Louis Roberts, M.D.
• Deborah Rogalla, N.D.
• Danielle Avon Rogers, PHARMD
• Angela Kay Rose
• Deanne M Ryan, R.PH B.S.PHARM
• Tara Saenz, FNP-C
• Safeway Inc (Safeway Pharmacy #1543)
• Olivia Sage, LAC DIPLAC

• Mental Health Counselor in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.