Individual provider Active NPI

Lisa Ellen Rogers, M.A.,LMFT,LPC,LPCC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1396003141
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001034 Issued in NY
Practice address
245 5TH Ave FL 3
New York, NY 10016-8728
Phone
(646) 599-3865
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178000647 IL
Professional Counselor 101YP2500X 19332 TX
Professional Counselor 101YP2500X 0137111 NM
Marriage & Family Therapist 106H00000X 201088 TX
Marriage & Family Therapist 106H00000X 43013 CA
Marriage & Family Therapist 106H00000X MT3903 FL
Marriage & Family Therapist 106H00000X 37FI00197100 NJ
Marriage & Family Therapist 106H00000X MFT001927 GA
Marriage & Family Therapist 106H00000X 100.0130890 VT
Marriage & Family Therapist 106H00000X 001034 NY Primary

Addresses

Primary practice location

245 5TH Ave FL 3
New York, NY 10016-8728

Mailing address

208 E 51St St # 264
New York, NY 10022-6557
Phone (646) 599-3865

Other practice location 1

18 E 41st St Fl 14
New York, NY 10017-6244
Phone (646) 599-3865

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

LicenseStateTypeSpecialty
178000647ILMDProfessional Counselor
0137111NMMDProfessional Counselor
19332TXMDProfessional Counselor
43013CAMDMarriage & Family Therapist
MT3903FLMDMarriage & Family Therapist
MFT001927GAMDMarriage & Family Therapist
37FI00197100NJMDMarriage & Family Therapist
201088TXMDMarriage & Family Therapist
100.0130890VTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisarogers@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1396003141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 51ST ST # 264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226557",
            "telephone_number": "646-599-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168728",
            "telephone_number": "646-599-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E 41st St Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176244",
            "country_code": "US",
            "telephone_number": "646-599-3865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.A.,LMFT,LPC,LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178000647",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19332",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0137111",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201088",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43013",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3903",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00197100",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001927",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0130890",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.