Individual provider Active NPI

Courtney Rogers

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1740046721
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13007207-6009 Issued in UT
Practice address
4626 N 300 W Ste 150
Provo, UT 84604-6077
Phone
(801) 407-4134
Fax
(801) 877-0864
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13007207-6009 UT Primary

Addresses

Primary practice location

4626 N 300 W Ste 150
Provo, UT 84604-6077

Mailing address

PO Box 50207
Provo, UT 84605-0207
Phone (801) 407-4134

Other practice location 1

774 S 1600 W Ste 101
Mapleton, UT 84664-4346
Phone (801) 407-4134

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

LicenseStateTypeSpecialty
13007207-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sela Health, PLLC Mental Health PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1740046721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50207",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846050207",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 N 300 W STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046077",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 S 1600 W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "UT",
            "postal_code": "846644346",
            "country_code": "US",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13007207-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.