Active NPI
Michael J Rogers, CASAC, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1407090830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004035839
- Practice address
- 2032 E Kearney St Ste 214
Springfield, MO 65803-4662 - Phone
- (417) 869-0700
- Fax
- (417) 869-0705
- NPI assigned
- Apr 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3275 | MO | |
| Professional Counselor | 101YP2500X | 2004035839 | MO | Primary |
Addresses
Primary practice location
2032 E Kearney St Ste 214
Springfield, MO 65803-4662
Mailing address
2032 E Kearney St Ste 214
Springfield, MO 65803-4662
Phone (417) 869-0700
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 |
|---|---|---|---|
| 3275 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| 2004035839 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1407090830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 E KEARNEY ST STE 214",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034662",
"telephone_number": "417-869-0700",
"fax_number": "417-869-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 E KEARNEY ST STE 214",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034662",
"telephone_number": "417-869-0700",
"fax_number": "417-869-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "CASAC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "3275",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2004035839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.