Rebecca A Rogers, MH COUNSELOR

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

565 Clover Dr
Upper Lake, CA 95485-9233

Phone

(707) 275-9555

Fax

(707) 275-9555

NPI assigned

Nov 15, 2007

Last updated

Sep 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca A Manley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1730360975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CLOVER DR",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "954859233",
            "telephone_number": "707-275-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CLOVER DR",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "954859233",
            "telephone_number": "707-275-9555",
            "fax_number": "707-275-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MH COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "AMF06116104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MANLEY",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Leroy Parsons, DO
• Mindy Pratt
• Virgina L Price, MH REHAB SPEC
• Redwood Community Services, Inc
• Kathryn C Reisig, MFT
• Shannon L Samples, TBS COORDINATOR
• Sutter West Bay Hospitals (Sutter Lakeside Community Health Center)
• Upper Lake Unified School District
• Amber Williamson

• Counselor in Upper Lake, CA
• Providers in Upper Lake, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.