Joseph Edward Rogers, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hilo, HI
NPI 1265825640 · NPPES record last updated May 20, 2016
Key facts
- NPI
- 1265825640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1816-14 (HI)
- Practice address
- 614 Kilauea Ave
Suite 102a
Hilo, HI 96720-4272 - Phone
- (808) 339-0262
- NPI assigned
- Mar 10, 2015
- Sex
- Male
- 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 |
|---|---|---|---|
| 1816-14 | HI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1816-14 | HI | Yes |
Addresses
Primary practice location
614 Kilauea Ave
Suite 102a
Hilo, HI 96720-4272
Mailing address
PO Box 2294
Pahoa, HI 96778-2202
Phone (808) 332-0262
Other providers in Hilo, HI
- Rodney T. Ono, M.D., Inc
- Johnalyn Kekaihokulani Rodrigues Nosaka
- Shea Rodrigues
- Penelope L Rodriguez
- Rosemary T. Rodriguez
- Kevin Rogers
- Angel Luis Roman
- Donald George Romero
- Root 2 Rise Cooperative
- Deborah A Roper
All providers in Hilo, HI · Addiction (Substance Use Disorder) Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2016. 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.