Active NPI
Katherine Rogers, EDS, LPC
- Counselor
- Bentonville, AR
National Provider Identifier
1144771395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P1609137
- Practice address
- 1730 SE Moberly LN
Suite 4
Bentonville, AR 72712-7015 - Phone
- (479) 306-0787
- NPI assigned
- Oct 21, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | P1609137 | AR | Primary |
Addresses
Primary practice location
1730 SE Moberly LN
Suite 4
Bentonville, AR 72712-7015
Mailing address
1730 SE Moberly LN
Suite 4
Bentonville, AR 72712-7015
Phone (479) 306-0787
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 |
|---|---|---|---|
| P1609137 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1144771395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 SE MOBERLY LN",
"address_2": "SUITE 4",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127015",
"telephone_number": "479-306-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 SE MOBERLY LN",
"address_2": "SUITE 4",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127015",
"telephone_number": "479-306-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "EDS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "P1609137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.