Individual provider Active NPI

Nickie Chalonda Rogers, LPC

  • Professional Counselor
  • Sumter, SC
National Provider Identifier
1629485529
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6260 Issued in SC
Practice address
529 Oxford St Ste B
Sumter, SC 29150-3301
Phone
(803) 774-6892
Fax
(803) 774-6893
NPI assigned
Jul 13, 2014
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 561 SC
Professional Counselor 101YP2500X 6260 SC Primary

Addresses

Primary practice location

529 Oxford St Ste B
Sumter, SC 29150-3301

Mailing address

529 Oxford St Ste B
Sumter, SC 29150-3301
Phone (803) 774-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
561SCMDOptometrist
6260SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling Services, LLC Professional CurrentSince Jan 10, 2025 Accepting new patients
Pathway to Serenity Case Management CurrentSince Jan 12, 2025 Accepting new patients

Locations

529 Oxford St
Ste B
Sumter, SC 29150
Phone (803) 774-6892

Organizations & group practices 2

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": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1629485529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 OXFORD ST STE B",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503301",
            "telephone_number": "803-774-6892",
            "fax_number": "803-774-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 OXFORD ST STE B",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503301",
            "telephone_number": "803-774-6892",
            "fax_number": "803-774-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NICKIE",
        "middle_name": "CHALONDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "561",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.