Jeremy Dale Rogers
Individual provider Active NPI Marriage & Family Therapist · Fort Smith, AR
NPI 1679917397 · NPPES record last updated Oct 19, 2018
Key facts
- NPI
- 1679917397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 5306 Labelle CT
Fort Smith, AR 72903-2680 - Phone
- (191) 877-4530
- NPI assigned
- Apr 24, 2013
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
5306 Labelle CT
Fort Smith, AR 72903-2680
Mailing address
2700 N 7TH St Apt 633
Broken Arrow, OK 74012-2583
Phone (191) 877-4530
Other providers in Fort Smith, AR
- Crystal Gail Rofkahr
- Roger N. Bise, MD PA
- Allison A Rogers
- Chloe Rogers
- Emma Rogers
- Kayla Rogers
- Sydney Catherine Rogers
- Torie Rogers
- Zoella Kay Rogers
- Latavia Rollinson
All providers in Fort Smith, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2018. 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.