Individual provider Active NPI

Sandra Lynn Rogelberg

  • Counselor
  • Charlotte, NC
National Provider Identifier
1356583496
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NC 4459 Issued in NC
Practice address
Queens University of Charlotte
1900 Selwyn Ave
Charlotte, NC 28274-0001
Phone
(704) 337-2508
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NC 4459 NC Primary

Addresses

Primary practice location

Queens University of Charlotte
1900 Selwyn Ave
Charlotte, NC 28274-0001

Mailing address

6831 Needham Dr
Charlotte, NC 28270-2836
Phone (704) 442-5612

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
NC 4459NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1356583496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NEEDHAM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702836",
            "telephone_number": "704-442-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUEENS UNIVERSITY OF CHARLOTTE",
            "address_2": "1900 SELWYN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282740001",
            "telephone_number": "704-337-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGELBERG",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "NC 4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.