Roe A Rodgers-Bonaccorsy, LCADC, LCPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA375 Issued in MD

Practice address

975 Solomons Island Rd N
Prince Frederick, MD 20678-3917

Phone

(410) 535-5400

Fax

(410) 535-0736

NPI assigned

Mar 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1326289273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 STANFORD BLVD.",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-313-6202",
            "fax_number": "410-313-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783917",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS-BONACCORSY",
        "first_name": "ROE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LCADC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modesto Santos Rivera, M.D.
• Loren Lynn Roberts, DPT
• Travis Wayne Roberts, NP-C
• Kesha Shunte Robertson, M.D.
• Mary Rocque
• Kasey Rolfes, DHA, LAT, RCEP
• Ronald J. Ross Jr., M.D.
• Sarah E Rothhaas, P.A.
• Rodney James Roundtree Jr., LCPC
• Wayne Mark Rozran, M. D.

• Addiction (Substance Use Disorder) Counselor in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.