Individual provider Active NPI

Mariah Ann Rogers, LPC

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1104426154
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012800 Issued in PA
Practice address
1509 Maple St
Scranton, PA 18505-2707
Phone
(570) 344-1115
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012800 PA Primary

Addresses

Primary practice location

1509 Maple St
Scranton, PA 18505-2707

Mailing address

1509 Maple St
Scranton, PA 18505-2707
Phone (570) 344-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240411003118 PA Practitioner - Mental Health Counselor 8527407451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012800PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group CurrentSince Mar 4, 2024 Accepting new patients
The Wright Center Medical Group CurrentSince Mar 4, 2024 Accepting new patients
Friendship House PastSince Nov 1, 2020 Accepting new patients
Friendship House PastSince Nov 1, 2020 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/friendshiphousepa/r4/
  • Direct secure messaging: mrogers@thewrightcenter.medentdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1104426154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MAPLE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052707",
            "telephone_number": "570-344-1115",
            "fax_number": "570-344-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MAPLE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052707",
            "telephone_number": "570-344-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARIAH",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.