Individual provider Active NPI

Jessica R. Rogers, LPCA

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1275296170
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
272282 Issued in KY
Practice address
901 Beauty Ave
Bowling Green, KY 42101-6135
Phone
(270) 599-1034
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 272282 KY Primary

Addresses

Primary practice location

901 Beauty Ave
Bowling Green, KY 42101-6135

Mailing address

218 College St
Bowling Green, KY 42101-1228
Phone (270) 991-5114

Other identifiers 1

IdentifierTypeStateIssuer
7100762570MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jessica.r.balance@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
272282KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Roads Mentoring Program Incorporated CurrentSince Oct 24, 2021 Accepting new patients
Balance Therapeutic Care, Counseling Services LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

901 Beauty Ave
Bowling Green, KY 42101
Phone (270) 599-1034

Organizations & group practices 2

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1275296170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 COLLEGE ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011228",
            "telephone_number": "270-991-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BEAUTY AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016135",
            "telephone_number": "270-599-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JESSICA",
        "middle_name": "R.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "272282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100762570",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jessica.r.balance@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapist",
            "address_1": "901 Beauty Ave",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421016135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.