Individual provider Active NPI

Lavonne Marie Rodgers, LPC

  • Mental Health Counselor
  • Stafford, VA
National Provider Identifier
1447403142
Registry record updated Nov 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003002 Issued in VA
Practice address
385 Garrisonville Rd Ste 113
Stafford, VA 22554-8900
Phone
(540) 657-1228
Fax
(540) 657-1999
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003002 VA Primary

Addresses

Primary practice location

385 Garrisonville Rd Ste 113
Stafford, VA 22554-8900

Mailing address

385 Garrisonville Rd Ste 113
Stafford, VA 22554-8900
Phone (540) 657-1228

Other names 1

  • Ms. Kandi Marie Rodgers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003159 VA Practitioner - Mental Health Counselor 5193245306 Practice locations: Fredericksburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

806 Westwood Office Park
Fredericksburg, VA 22401-5121
Phone (540) 361-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446940800000",
    "number": "1447403142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD STE 113",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548900",
            "telephone_number": "540-657-1228",
            "fax_number": "540-657-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD STE 113",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548900",
            "telephone_number": "540-657-1228",
            "fax_number": "540-657-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "LAVONNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDI",
            "last_name": "RODGERS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.