Active NPI
Michelle Lynne Rogers, L.P.C.
- Mental Health Counselor
- Kansas City, MO
National Provider Identifier
1417169988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2001018061
- Practice address
- 2211 Charlotte
Kansas City, MO 64108 - Phone
- (816) 404-5103
- NPI assigned
- May 4, 2007
- Last updated
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2001018061 | MO | Primary |
Addresses
Primary practice location
2211 Charlotte
Kansas City, MO 64108
Mailing address
607 Cottonwood Lane
Liberty, MO 64068
Phone (816) 792-2623
Other practice location 1
1300 Cherry St
Kansas City, MO 64106-2828
Phone (816) 881-1058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495699704 | Medicaid | MO |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center Incorporated | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Health Behavioral Health
- Community/Behavioral Health Agency
- Kansas City, MO
- NPI 1497890495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1417169988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 COTTONWOOD LANE",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "816-792-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 CHARLOTTE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-404-5103"
}
],
"practiceLocations": [
{
"address_1": "1300 Cherry St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641062828",
"country_code": "US",
"telephone_number": "816-881-1058",
"fax_number": "816-881-1572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "MICHELLE",
"middle_name": "LYNNE",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2001018061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495699704",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.