Active NPI
Sharickah Rogers, M.A.
- Counseling Psychologist
- Portage, MI
National Provider Identifier
1356775647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301015420
- Practice address
- 5805 Oakland Dr
Portage, MI 49024-1118 - Phone
- (269) 323-1954
- Fax
- (269) 323-4183
- NPI assigned
- Aug 22, 2013
- 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 | 6401013517 | MI | |
| Counseling Psychologist | 103TC1900X | 6301015420 | MI | Primary |
Addresses
Primary practice location
5805 Oakland Dr
Portage, MI 49024-1118
Mailing address
4429 Monterey Pine Ave
Portage, MI 49024-9054
Other names 1
- Ms. Sharickah Jones
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013517 | MI | MD | Professional Counselor |
| 6301015420 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1568500023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1356775647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4429 MONTEREY PINE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490249054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 OAKLAND DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490241118",
"telephone_number": "269-323-1954",
"fax_number": "269-323-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SHARICKAH",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013517",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301015420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARICKAH",
"last_name": "JONES",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.