Individual provider Active NPI

Kara Elizabeth Rogers, LICENSED COUNSELOR

  • Professional Counselor
  • Stockbridge, GA
National Provider Identifier
1407915192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC002661 Issued in GA
Practice address
10 Wilson Rd
Stockbridge, GA 30281-4433
Phone
(770) 506-9575
Fax
(770) 506-9369
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC002661 GA Primary

Addresses

Primary practice location

10 Wilson Rd
Stockbridge, GA 30281-4433

Mailing address

21 Beverly Cir
Hampton, GA 30228-3014
Phone (770) 707-1391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC002661GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Star Counseling LLC Professional 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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407915192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BEVERLY CIR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283014",
            "telephone_number": "770-707-1391",
            "fax_number": "770-707-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILSON RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814433",
            "telephone_number": "770-506-9575",
            "fax_number": "770-506-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "credential": "LICENSED COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.