Luvenia Ann Rogers
Individual provider Active NPI Health Service Psychologist · Middlesex, NC
NPI 1194317677 · NPPES record last updated Feb 6, 2021
Key facts
- NPI
- 1194317677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- License
- 008583970001 (NC)
- Practice address
- 10167 Morgan St
Middlesex, NC 27557-7451 - Phone
- (919) 633-2858
- NPI assigned
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008583970001 | NC | MD | Health Service Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist |
103TH0100X | 008583970001 | NC | Yes |
Addresses
Primary practice location
10167 Morgan St
Middlesex, NC 27557-7451
Mailing address
10167 Morgan St
Middlesex, NC 27557-7451
Phone (919) 633-2858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008583970001 | Medicaid | NC |
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All providers in Middlesex, NC · Health Service Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.