Active NPI
Nickie Chalonda Rogers, LPC
- Professional Counselor
- Sumter, SC
National Provider Identifier
1629485529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6260
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 561 | SC | MD | Optometrist |
| 6260 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Counseling Services, LLC | Professional | Current | Accepting new patients |
| Pathway to Serenity Case Management | Current | 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.
-
- Case Management Agency
- Sumter, SC
- NPI 1700392552
-
- Professional Counselor
- Sumter, SC
- NPI 1093229700
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
- Maria Luiza Rodriguez Vidales
- Allison Pitts Rogers, MCD
- April T Rogers, PAC
- Ashleigha Rogers
- Lindsey Raynell Rogers, DPT. PT
- Rae Rogers, CRNA
- Wynette Rogers
- Kailey Romero
- Roper Saint Francis Physicians Network (Charleston Neurosurgical Associates)
- Roper Saint Francis Physicians Network (Charleston Neurosurgical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.