NPIMap

Individual provider Active NPI

Patrice Suzete Banks Rogers, LPCA

  • Mental Health Counselor
  • Knightdale, NC
National Provider Identifier
1780025239
Registry record updated Jul 12, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A8235 Issued in NC
Practice address
111 Cinder St
Knightdale, NC 27545-6001
Phone
(919) 886-8519
Fax
(919) 890-0389
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A8235 NC Primary
Professional Counselor 101YP2500X A8235 NC
Community Health Worker 172V00000X A8235 NC

Addresses

Primary practice location

111 Cinder St
Knightdale, NC 27545-6001

Mailing address

111 Cinder St
Knightdale, NC 27545-6001
Phone (919) 886-8519

Other identifiers 1

IdentifierTypeStateIssuer
A8235OtherNCLICENSED PROFESSIONAL COUNSELOR ASSOCIATE

Other names 1

  • Patrice Suzette Banks Professional name

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
A8235NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Centered Behavioral Health PLLC Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patricebanksrogers@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1780025239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CINDER ST",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456001",
            "telephone_number": "919-886-8519",
            "fax_number": "919-890-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CINDER ST",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456001",
            "telephone_number": "919-886-8519",
            "fax_number": "919-890-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS ROGERS",
        "first_name": "PATRICE",
        "middle_name": "SUZETE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8235",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A8235",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": "A8235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR ASSOCIATE",
            "identifier": "A8235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "BANKS",
            "middle_name": "SUZETTE",
            "credential": "LPCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.