Mara Rogers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9504 Issued in MN

Practice address

2700 E 22ND St
Minneapolis, MN 55406-1315

Phone

(651) 746-9129

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mara Rogers Speech & Language LLC

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1306621933
  NPD Authorized official

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1235511528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061315",
            "telephone_number": "651-746-9129",
            "fax_number": "651-746-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061315",
            "telephone_number": "651-746-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LICENSE",
            "identifier": "9504",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Alfred Rogers, M.D.
• Elizabeth Ann Rogers, MD
• John Rogers, MA L.P.C.C.
• Lindsey Rogers, RD, LD
• Luke Lee Rogers
• Mary J. Rogers, L.I.C.S.W.
• Nicholas R Rogers
• Ruby Allen Rogers
• Sharri Peterson Rogers, MA, LMFT
• Sonya Point - Rogers

• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.