Jim Rogers
Individual provider Active NPI Marriage & Family Therapist · Helendale, CA
NPI 1669693289 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669693289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT35622 (CA)
- Practice address
- 26734 Jordan Rd.
Suite a-4
Helendale, CA 92342-1484 - Phone
- (760) 961-6118
- Fax
- (760) 955-2242
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT35622 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT35622 | CA | Yes |
Addresses
Primary practice location
26734 Jordan Rd.
Suite a-4
Helendale, CA 92342-1484
Mailing address
P.O. Box 1484
Helendale, CA 92342-1484
Other providers in Helendale, CA
- Vanessa Ann Marie Rita Pitts
- Edrina Poblete
- Ericson Aranzaso Reyes
- Gabriela Rodriguez
- Gamaliel E Rodriguez Jr.
- Cary Frank Schwimmer
- Arcelia Walker
- Amber Elizabeth Wallace
- Ashley Williams
- Dakayla Williams
All providers in Helendale, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.