Active NPI
Traci Brenner Rogers, LPC
- Professional Counselor
- Mechanicsburg, PA
National Provider Identifier
1689952053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005955
- Practice address
- 5249 Simpson Ferry Rd
Mechanicsburg, PA 17050-3515 - Phone
- (717) 487-5493
- Fax
- (717) 790-9268
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005955 | PA | Primary |
Addresses
Primary practice location
5249 Simpson Ferry Rd
Mechanicsburg, PA 17050-3515
Mailing address
138 Stonebridge Dr
Dillsburg, PA 17019-8309
Phone (443) 907-9074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005955 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Counseling of Central Penn | Professional | Current | Accepting new patients |
| Pressley Ridge | Past | Accepting new patients |
Locations
5249 Simpson Ferry Rd
Mechanicsburg, PA 17050
Phone (717) 487-5493
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 and National Provider Directory roles.
-
- Professional Counselor
- Mechanicsburg, PA
- NPI 1902459381
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1992017586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1689952053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 STONEBRIDGE DR",
"city": "DILLSBURG",
"state": "PA",
"postal_code": "170198309",
"telephone_number": "443-907-9074",
"fax_number": "717-790-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 SIMPSON FERRY RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170503515",
"telephone_number": "717-487-5493",
"fax_number": "717-790-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TRACI",
"middle_name": "BRENNER",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.