Active NPI
Kimberly Ann Rodgers, MS
- Mental Health Counselor
- West End, NC
National Provider Identifier
1306089420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5228 NC Highway 211
West End, NC 27376 - Phone
- (910) 673-8513
- NPI assigned
- Apr 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5228 NC Highway 211
West End, NC 27376
Mailing address
3812 Holly Oak Dr
Unit 8
Fayetteville, NC 28314-1290
Phone (808) 222-3877
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1306089420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 HOLLY OAK DR",
"address_2": "UNIT 8",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141290",
"telephone_number": "808-222-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 NC HIGHWAY 211",
"city": "WEST END",
"state": "NC",
"postal_code": "27376",
"telephone_number": "910-673-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West End, NC
- Anna Long Ray
- Karen Tyree Reaves, LPA
- Michael Stephen Reese, DPT
- Richard S. Pasko, D.C., PLLC
- Sherry L Riley
- Jean Ruggles, PT, MS
- Noreen Russo, PA
- Sandhills Center for MD/DD/Sas
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.