Active NPI
Reginald Charles Rogers, AMFT
- Marriage & Family Therapist
- Apple Valley, CA
National Provider Identifier
1386259422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 143448
- Practice address
- 17800 US Highway 18
Apple Valley, CA 92307-1221 - Phone
- (760) 552-6700
- NPI assigned
- Sep 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 143448 | CA | Primary |
Addresses
Primary practice location
17800 US Highway 18
Apple Valley, CA 92307-1221
Mailing address
14529 Vancouver Ave
Fontana, CA 92336-0655
Other practice location 1
10912 Jersey Blvd
Rancho Cucamonga, CA 91730-5102
Phone (909) 466-7789
Other practice location 2
17057 Foothill Blvd # 205
Fontana, CA 92335-3574
Phone (909) 693-3177
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 |
|---|---|---|---|
| 143448 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino County Superintendent of Schools | Past | Accepting new patients | |
| Healing for Humanity Counselor Inc. | Marriage & Family Therapist | Past | Accepting new patients |
| Living Hope Counseling Center | Past | Accepting new patients | |
| Trauma and Healing Foundation | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Marriage & Family Therapist
- Fontana, CA
- NPI 1659148880
-
- Community/Behavioral Health Agency
- Rancho Cucamonga, CA
- NPI 1841709193
-
- Community/Behavioral Health Agency
- Apple Valley, CA
- NPI 1518091966
-
dba The Trauma and Healing Foundation
- Marriage & Family Therapist
- Fontana, CA
- NPI 1629600341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1386259422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14529 VANCOUVER AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071221",
"telephone_number": "760-552-6700"
}
],
"practiceLocations": [
{
"address_1": "10912 Jersey Blvd",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917305102",
"country_code": "US",
"telephone_number": "909-466-7789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17057 Foothill Blvd # 205",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923353574",
"country_code": "US",
"telephone_number": "909-693-3177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "REGINALD",
"middle_name": "CHARLES",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "143448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.