Lakeisha G Rogers, PHD, LCMHC, LCAS,CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10662 Issued in NC

Practice address

5 Centerview Dr
Suite 110
Greensboro, NC 27407

Phone

(336) 663-8017

Fax

(336) 232-9454

NPI assigned

Dec 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Keisha G Rogers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The KGR Group PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1730849373

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1730425018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENTBURY CIR # 215",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069340",
            "telephone_number": "336-663-8017",
            "fax_number": "336-232-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR",
            "address_2": "SUITE 110",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-663-8017",
            "fax_number": "336-232-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LAKEISHA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMHC, LCAS,CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2718",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "ROGERS",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PHD, LCMHC, LCAS,CRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Betty Ritz Rogers, R. N.
• Charles Stewart Rogers, MD
• Daneisha Rogers
• Jason Patrick Rogers, M.D.
• Jennifer Lindsey Rogers
• Nicole C Rogers, LPT
• Jacqueline Marie Roh, RPH, BCPS
• Roland M. Jones DDS
• Betsy Rolfes, PT, DPT
• Cemetrius Teouna Rolle, MSW, LCSWA

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.