Daryn Rogers, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP6142 Issued in MN

Practice address

15832 Venture LN
Eden Prairie, MN 55344-5732

Phone

(952) 209-9200

Fax

(952) 209-9201

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Daryn Rahardja Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Daryn R Rogers PHD LP LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eden Prairie, MN
  • NPI 1316505803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1538310685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15832 VENTURE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445732",
            "telephone_number": "952-209-9200",
            "fax_number": "952-209-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15832 VENTURE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445732",
            "telephone_number": "952-209-9200",
            "fax_number": "952-209-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DARYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP6142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYN",
            "last_name": "RAHARDJA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Thomas Roche III, A.T.C.
• Kye'Arra Rodgers
• Madeline Marie Roehrig
• Michael John Rogan, M.D.
• Rogers Memorial Hospital Incorporated
• Rohman Counseling PLC
• Jason Allen Rohman, LADC
• Atlanta Roloff, DDS
• Taylor Rolstad
• Lauren Elizabeth Romaniello

• Counseling Psychologist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.