Vickie Lynn Rogers

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

15405 Lansdowne Rd Ste C
Tustin, CA 92782-0201

Phone

(714) 258-7710

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rite of Passage Adolescent Treatment Centers and Schools Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
  • NPI 1093282220
  NPD (past)
• Rite of Passage Adolescent Treatment Centers and Schools Inc.

  dba Tustin Family Campus

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
  • NPI 1528543212
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1417506247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15327 WOODRUFF PL APT 229",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064052",
            "telephone_number": "562-608-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LANSDOWNE RD STE C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927820201",
            "telephone_number": "714-258-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kessia Patricia Rodriguez
• Manuel Eduardo Rodriguez
• Monica Rodriguez
• Roger Kornu MD PC (Southern California Rheumatology)
• Amanda Lynn Rogers
• Shiva Roghani, DDS
• Kyle Rogoff
• Steven S Roman, PSY.D., MFT
• Valeria Roman
• Anayely Romero

• Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.