Active NPI
Kory Ann Rogers, LCPC, ACLA
- Counselor
- Bozeman, MT
National Provider Identifier
1457900706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- BBH-LCPC-LIC-37343
- Practice address
- 2115 Durston Rd Ste 9
Bozeman, MT 59718-2800 - Phone
- (406) 404-6295
- NPI assigned
- Sep 10, 2019
- Last updated
- Sep 10, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | BBH-LCPC-LIC-37343 | MT | Primary |
Addresses
Primary practice location
2115 Durston Rd Ste 9
Bozeman, MT 59718-2800
Mailing address
539 Red Barn Dr
Belgrade, MT 59714-7205
Phone (406) 579-4370
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | koryann@bridgerpeakscounseling.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-37343 | MT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridger Peaks Counseling & Recovery Services LLC. | 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.
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1508215062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1457900706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 RED BARN DR",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597147205",
"telephone_number": "406-579-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 DURSTON RD STE 9",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597182800",
"telephone_number": "406-404-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KORY",
"middle_name": "ANN",
"credential": "LCPC, ACLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "BBH-LCPC-LIC-37343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "koryann@bridgerpeakscounseling.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2115 Durston Rd Ste 9",
"city": "Bozeman",
"state": "MT",
"country_code": "US",
"postal_code": "597182800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.