Individual provider Active NPI

Timothy Rogers, M.A.,LMFT

  • Marriage & Family Therapist
  • Buckeye, AZ
National Provider Identifier
1164757605
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CALMFT101500 Issued in CA
Practice address
20617 W Hamilton St
Buckeye, AZ 85396-7772
Phone
(424) 202-9269
Fax
(424) 877-1759
NPI assigned
Oct 15, 2009
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AZLMFT15993 AZ
Mental Health Counselor 101YM0800X CALMFT101500 CA
Marriage & Family Therapist 106H00000X CALMFT101500 CA Primary
Marriage & Family Therapist 106H00000X AZLMFT15993 AZ

Addresses

Primary practice location

20617 W Hamilton St
Buckeye, AZ 85396-7772

Mailing address

20617 W Hamilton St
Buckeye, AZ 85396-7772
Phone (424) 202-9269

Other practice location 1

1325 N Western Ave
Los Angeles, CA 90027-5615
Phone (323) 461-3131 ext. 226

Other practice location 2

16133 Ventura Blvd Ste 1125
Encino, CA 91436-2424
Phone (818) 922-5000

Other identifiers 2

IdentifierTypeStateIssuer
AZLMFT15993MedicaidAZ
CALMFT101500MedicaidCA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF#61749CAMDMarriage & Family Therapist
101500CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant House California Past Accepting new patients
JWCH Institute, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAGGAA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1164757605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20617 W HAMILTON ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967772",
            "telephone_number": "424-202-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20617 W HAMILTON ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967772",
            "telephone_number": "424-202-9269",
            "fax_number": "424-877-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900275615",
            "country_code": "US",
            "telephone_number": "323-461-3131 x226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16133 Ventura Blvd Ste 1125",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362424",
            "country_code": "US",
            "telephone_number": "818-922-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "M.A.,LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "AZLMFT15993",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "CALMFT101500",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "CALMFT101500",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "AZLMFT15993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AZLMFT15993",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CALMFT101500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.