Active NPI
Tammy L. Rodgers, LCPC
- Counselor
- Bloomington, IL
National Provider Identifier
1306977210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.002087
- Practice address
- 1003 Martin Luther King Dr
Bloomington, IL 61701-1429 - Phone
- (888) 924-3786
- NPI assigned
- Mar 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-002087 | IL | |
| Counselor | 101Y00000X | 180.002087 | IL | Primary |
Addresses
Primary practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Mailing address
71 Kirkwood Dr.
Clinton, IL 61727
Phone (217) 935-7590
Other practice location 1
702 W Chestnut St
Bloomington, IL 61701-2814
Phone (309) 827-6026
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 |
|---|---|---|---|
| 180.002087 | IL | MD | Counselor |
| 180-002087 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1306977210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 KIRKWOOD DR.",
"city": "CLINTON",
"state": "IL",
"postal_code": "61727",
"telephone_number": "217-935-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MARTIN LUTHER KING DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011429",
"telephone_number": "888-924-3786"
}
],
"practiceLocations": [
{
"address_1": "702 W Chestnut St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617012814",
"country_code": "US",
"telephone_number": "309-827-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "TAMMY",
"middle_name": "L.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-002087",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.002087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.