Active NPI
Lisa Ellen Rogers, M.A.,LMFT,LPC,LPCC
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1396003141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001034
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178000647 | IL | MD | Professional Counselor |
| 0137111 | NM | MD | Professional Counselor |
| 19332 | TX | MD | Professional Counselor |
| 43013 | CA | MD | Marriage & Family Therapist |
| MT3903 | FL | MD | Marriage & Family Therapist |
| MFT001927 | GA | MD | Marriage & Family Therapist |
| 37FI00197100 | NJ | MD | Marriage & Family Therapist |
| 201088 | TX | MD | Marriage & Family Therapist |
| 100.0130890 | VT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
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.