Active NPI
Kevin Francis Rogers, LADC1, ASSOC. COUN
- Addiction (Substance Use Disorder) Counselor
- Lynn, MA
National Provider Identifier
1114139524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1830
- Practice address
- 3 Clough St
Lynn, MA 01902-2609 - Phone
- (781) 596-1458
- NPI assigned
- May 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1830 | MA | Primary |
Addresses
Primary practice location
3 Clough St
Lynn, MA 01902-2609
Mailing address
3 Clough St
Lynn, MA 01902-2609
Phone (781) 596-1458
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 |
|---|---|---|---|
| 1830 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114139524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CLOUGH ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019022609",
"telephone_number": "781-596-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CLOUGH ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019022609",
"telephone_number": "781-596-1458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KEVIN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LADC1, ASSOC. COUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.