Active NPI
Ophelia N Rogers, MED LPC
- Professional Counselor
- Elk City, OK
National Provider Identifier
1194047381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4115
- Practice address
- 120 S Madison Ave Ste 24
Elk City, OK 73644-5741 - Phone
- (866) 926-6552
- Fax
- (580) 225-1130
- NPI assigned
- Feb 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4115 | OK | Primary |
Addresses
Primary practice location
120 S Madison Ave Ste 24
Elk City, OK 73644-5741
Mailing address
17595 E 1240 Rd
Erick, OK 73645-4522
Phone (580) 414-0164
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4115 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts of Hope LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Edmond, OK
- NPI 1407103146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1194047381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17595 E 1240 RD",
"city": "ERICK",
"state": "OK",
"postal_code": "736454522",
"telephone_number": "580-414-0164",
"fax_number": "580-225-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S MADISON AVE STE 24",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736445741",
"telephone_number": "866-926-6552",
"fax_number": "580-225-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "OPHELIA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MED LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-16",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.