Active NPI
Robert Rogers
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1154885887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC10874
- Practice address
- 314 Wyndhurst Ave
Baltimore, MD 21210-2416 - Phone
- (443) 681-9935
- Fax
- (443) 687-8662
- NPI assigned
- Jan 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP9063 | MD | |
| Professional Counselor | 101YP2500X | LC10874 | MD | Primary |
Addresses
Primary practice location
314 Wyndhurst Ave
Baltimore, MD 21210-2416
Mailing address
203 Murdock Rd
Baltimore, MD 21212-1824
Phone (407) 721-5947
Other practice location 1
4216C Silver Spring Rd
Perry Hall, MD 21128-9659
Phone (410) 893-4600
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 |
|---|---|---|---|
| LGP9063 | MD | MD | Counselor |
| LC10874 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Counseling and Consulting, LLC | Professional | Current | Accepting new patients |
| Safe Harbor Christian Counseling | Professional | Past | Accepting new patients |
| Safe Harbor Behavioral Care, LLC | Professional | Past | Accepting new patients |
| Safe Harbor Christian Counseling LLC | Professional | Past | Accepting new patients |
| Safe Harbor Christian Counseling | Professional | Past | Accepting new patients |
| Safe Harbor Community Services | Past | Accepting new patients |
Organizations & group practices 6
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.
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- Professional Counselor
- Walkersville, MD
- NPI 1558814855
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1184209447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1154885887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MURDOCK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212121824",
"telephone_number": "407-721-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 WYNDHURST AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102416",
"telephone_number": "443-681-9935",
"fax_number": "443-687-8662"
}
],
"practiceLocations": [
{
"address_1": "4216C Silver Spring Rd",
"address_purpose": "LOCATION",
"city": "Perry Hall",
"state": "MD",
"postal_code": "211289659",
"country_code": "US",
"telephone_number": "410-893-4600",
"fax_number": "443-640-4358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP9063",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC10874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.