Individual provider Active NPI

Kimberly A Rogers, LMHC

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1477855476
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18091 Issued in FL
Practice address
621 Cape Coral Pkwy E Ste 19C
Cape Coral, FL 33904-8548
Phone
(941) 677-8002
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 MH18091 FL Primary

Addresses

Primary practice location

621 Cape Coral Pkwy E Ste 19C
Cape Coral, FL 33904-8548

Mailing address

621 Cape Coral Pkwy E Ste 19C
Cape Coral, FL 33904-8548
Phone (941) 677-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240118004490 FL Practitioner - Mental Health Counselor 0244682821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18091FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health LLC Mental Health PastSince Sep 1, 2020 Accepting new patients
Florida Behavioral Center, Inc Mental Health PastSince Jun 14, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1477855476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CAPE CORAL PKWY E STE 19C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048548",
            "telephone_number": "941-677-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CAPE CORAL PKWY E STE 19C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048548",
            "telephone_number": "941-677-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.