Organization Active NPI

Shawn Rodgers LCPC LLC

  • Counselor
  • Rockland, ME
National Provider Identifier
1437881968
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SHAWN RODGERS LCPC LLC
Doing business as
Shawn Rodgers LCPC LLC
Practice address
17 Masonic St
Rockland, ME 04841-2808
Phone
(207) 701-1762
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mr. Shawn Michael Rodgers, LCPCNPI 1841485166
Title
Owner/Employee
Phone
(207) 701-1762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

17 Masonic St
Rockland, ME 04841-2808

Mailing address

66 W Street Ext
Rockport, ME 04856-5133
Phone (207) 701-1762

Other names 1

  • Shawn Rodgers LCPC LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://shawn-rodgers.clientsecure.me/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000276 ME Part B Supplier - Clinic/Group Practice 7618317488 Receives reassigned benefits from 1 practitioner
Practice locations: Rockland, ME

National Provider Directory

National Provider Directory

Locations

17 Masonic St
Rockland, ME 04841
Phone (207) 596-0991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1437881968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W STREET EXT",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565133",
            "telephone_number": "207-701-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MASONIC ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412808",
            "telephone_number": "207-701-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN RODGERS LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "207-701-1762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://shawn-rodgers.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 W Street Ext",
            "city": "Rockport",
            "state": "ME",
            "country_code": "US",
            "postal_code": "048565133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shawn Rodgers LCPC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shawn Rodgers LCPC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.