Individual provider Active NPI

Jodi N Rogers, LMHC

  • Mental Health Counselor
  • Delmar, NY
National Provider Identifier
1194334060
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011528 Issued in NY
Practice address
1241 Delaware Tpke
Delmar, NY 12054-5520
Phone
(518) 253-6771
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 011528 NY Primary

Addresses

Primary practice location

1241 Delaware Tpke
Delmar, NY 12054-5520

Mailing address

1241 Delaware Tpke
Delmar, NY 12054-5520
Phone (518) 253-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725000149 NY Practitioner - Mental Health Counselor 2163968231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011528NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Medical P.C. Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Behavioral Health Ipa PLLC Mental Health PastSince Aug 1, 2020 Accepting new patients
Joseph Ippolito PastSince Aug 1, 2020 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

73 Market St
Fl 3
Yonkers, NY 10710
Phone (800) 745-9563

Organizations & group practices 3

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1194334060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 DELAWARE TPKE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120545520",
            "telephone_number": "518-253-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 DELAWARE TPKE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120545520",
            "telephone_number": "518-253-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JODI",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.