Jerry L. Rogers, LICDC, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0900614-SUPV Issued in OH

Practice address

10921 Reed Hartman Hwy
Suite 133
Blue Ash, OH 45242-2830

Phone

(513) 984-9838

Fax

(513) 984-8075

NPI assigned

Nov 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1710254586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY",
            "address_2": "SUITE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422830",
            "telephone_number": "513-984-9838",
            "fax_number": "513-984-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JERRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LICDC, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161035",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900614-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genna Louise Robinson, MAOM, LAC, DIPL OM
• Laticia D Roden
• Ferdinand Rodriguez Agramonte, M.D.
• Savannah Maria Rodriguez, CT
• Marykatherine Elizabeth Rogers-Freeman
• Leah N Roginski, LISW, MSW
• Jessica Rolfes
• Celeste Rone-Moss
• Latisha Roper
• Dorasae Rosario, RCT

• Professional Counselor in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.

Verify at the official NPI Registry.