Jessica Nicole Rodgers, ED.S, M.ED, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9203 Issued in NC

Practice address

4649 N Broadway
Chicago, IL 60640

Phone

(561) 212-6651

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Modern Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1326764945
  NPD Authorized official
• Craig Counseling, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1952795908
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1184904245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 PINEVILLE MATTHEWS RD STE 602",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 N BROADWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "561-212-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "ED.S, M.ED, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marva Lynn Rodgers Cooksey, LMT
• Ashlee Denise Rodgers-Pritchett, QMHP
• Christina Hope Tarazi Rodgers, DNP, FNP-BC
• Christopher Michael Rodgers, LCSW
• Frenda Rodgers, MSW QMHP
• Khamari Rodgers
• Patrick Michael Rodgers, LCSW
• Renee D Rodgers, LSCSW
• Rosalind Christina Rodgers, LCPC, BC-DMT
• Sherrie Rae Rodgers, CPNP

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.