Individual provider Active NPI

Robert Rogers

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1154885887
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10874 Issued in MD
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

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LGP9063MDMDCounselor
LC10874MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Counseling and Consulting, LLC Professional CurrentSince Oct 5, 2025 Accepting new patients
Safe Harbor Christian Counseling Professional Past Accepting new patients
Safe Harbor Behavioral Care, LLC Professional PastSince Jan 1, 2018 Accepting new patients
Safe Harbor Christian Counseling LLC Professional PastSince Aug 7, 2016 Accepting new patients
Safe Harbor Christian Counseling Professional Past Accepting new patients
Safe Harbor Community Services PastSince Jun 1, 2023 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.

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.

Verify at the official NPI Registry.