Active NPI
Kristi Rogers, APSW
- Social Worker
- Beloit, WI
National Provider Identifier
1619705803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3005 S Riverside Dr Ste 102
Beloit, WI 53511-1500 - Phone
- (608) 299-7669
- Fax
- (608) 621-5180
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3005 S Riverside Dr Ste 102
Beloit, WI 53511-1500
Mailing address
N6528 Anderson Dr
Delavan, WI 53115-2694
Phone (262) 566-8703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enlightened Ways Therapy, LLC | Social Worker | Current | Accepting new patients |
Locations
3005 S Riverside Dr
Ste 102
Beloit, WI 53511
Phone (608) 299-7669
Organizations & group practices 1
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": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1619705803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N6528 ANDERSON DR",
"city": "DELAVAN",
"state": "WI",
"postal_code": "531152694",
"telephone_number": "262-566-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 S RIVERSIDE DR STE 102",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111500",
"telephone_number": "608-299-7669",
"fax_number": "608-621-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KRISTI",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.