Active NPI
Kathryn Schellbach Rogers, MFT
- Mental Health Counselor
- San Mateo, CA
National Provider Identifier
1205970688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 40683
- Practice address
- 205 E 3Rd Ave
Suite 208
San Mateo, CA 94401-4051 - Phone
- (650) 348-1301
- NPI assigned
- Feb 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 40683 | CA | Primary |
Addresses
Primary practice location
205 E 3Rd Ave
Suite 208
San Mateo, CA 94401-4051
Mailing address
451 Virginia Ave
San Mateo, CA 94402-2235
Phone (650) 347-4951
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 40683 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205970688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 VIRGINIA AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022235",
"telephone_number": "650-347-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 3RD AVE",
"address_2": "SUITE 208",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014051",
"telephone_number": "650-348-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KATHRYN",
"middle_name": "SCHELLBACH",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 40683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.