Krystina Elise Rogers, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00770600 Issued in NJ

Practice address

2083 Klockner Rd
Trenton, NJ 08690-3415

Phone

(609) 222-4902

Fax

(640) 888-7533

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mind Your Mind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hamilton, NJ
  • NPI 1053955096
  NPD

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1578028171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CANNA ST",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080152075",
            "telephone_number": "848-992-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-222-4902",
            "fax_number": "640-888-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Birchfield Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544013",
            "country_code": "US",
            "telephone_number": "856-258-7350",
            "fax_number": "856-258-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRYSTINA",
        "middle_name": "ELISE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "AD-GTL-22-02716",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00770600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Rockmore, D P M
• Melanie Rodas-Soto
• Cristina E Rodriguez, RN
• Julie Rodriguez
• Mercedes J Rodriguez, APN
• Jane Lorene Rohlf, MD
• Ruth Stella Rojas, DMD
• Yuri Rojavin, M.D.
• Juan Rolon
• Carmen M Roman

• Mental Health Counselor in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.