Individual provider Active NPI

Teresa Lyn Rogers, LPC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1568950814
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014368 Issued in IL
Practice address
2239 E Cook St
Springfield, IL 62703-1944
Phone
(217) 788-2300
NPI assigned
Apr 23, 2018
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.014368 IL Primary

Addresses

Primary practice location

2239 E Cook St
Springfield, IL 62703-1944

Mailing address

2239 E Cook St
Springfield, IL 62703-1944
Phone (217) 788-2300

Other practice location 1

151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240613002832 IL Practitioner - Mental Health Counselor 1658723077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2239 E Cook St
Springfield, IL 62703-1944
Phone 21778823002307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Health Centers, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Central Counties Health Centers, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Mental Health Centers of Central Illinois Professional Past Accepting new patients

Locations

120 N 11th St
Springfield, IL 62703
Phone (217) 544-9858

2239 E Cook St
Springfield, IL 62703

Interoperability endpoints

  • Direct secure messaging: teresa.rogers@cchci.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1568950814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 E COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031944",
            "telephone_number": "217-788-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 E COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031944",
            "telephone_number": "217-788-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231206",
            "country_code": "US",
            "telephone_number": "217-362-6262",
            "fax_number": "217-362-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TERESA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.