Baron Kenley Rogers, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS019938 Issued in PA

Practice address

125 High Meadow CT
State College, PA 16803-1889

Phone

(330) 814-1235

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1497247902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIGH MEADOW CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031889",
            "telephone_number": "330-814-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGH MEADOW CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031889",
            "telephone_number": "330-814-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Minority Behavioral Health Group",
            "address_2": "1293 COPLEY RD",
            "address_purpose": "LOCATION",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "country_code": "US",
            "telephone_number": "330-374-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "BARON",
        "middle_name": "KENLEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS019938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in State College, PA
• Providers in State College, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.