Active NPI
Tracy Marie Rogers
- Mental Health Counselor
- Lutz, FL
National Provider Identifier
1730005083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11572
- Practice address
- 3012 Cordoba Ranch Blvd
Lutz, FL 33559-3969 - Phone
- (941) 391-7261
- Fax
- (941) 391-7261
- NPI assigned
- Jun 29, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11572 | FL | Primary |
Addresses
Primary practice location
3012 Cordoba Ranch Blvd
Lutz, FL 33559-3969
Mailing address
512 Dryden Loop
Suite B
Dryden, VA 24243
Phone (276) 212-4325
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1730005083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 DRYDEN LOOP",
"address_2": "SUITE B",
"city": "DRYDEN",
"state": "VA",
"postal_code": "24243",
"telephone_number": "276-212-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 CORDOBA RANCH BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335593969",
"telephone_number": "941-391-7261",
"fax_number": "941-391-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TRACY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH11572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.