Individual provider Active NPI

Adrienne Roberta Rodgers

  • Mental Health Counselor
  • Hyattsville, MD
National Provider Identifier
1780419143
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP14546 Issued in MD
Practice address
Interdynamics, Inc.
8181 Professional Place, Suite 200
Hyattsville, MD 20785
Phone
(301) 306-4590
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 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 LGP14546 MD Primary

Addresses

Primary practice location

Interdynamics, Inc.
8181 Professional Place, Suite 200
Hyattsville, MD 20785

Mailing address

5807 Jackies Way
Clinton, MD 20735-4819
Phone (301) 639-3378

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
LGP14546MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Interdynamics, Inc. CurrentSince Sep 8, 2024 Accepting new patients
Interdynamics, Inc. PastSince Sep 8, 2024 Accepting new patients

Locations

8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1780419143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 JACKIES WAY",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354819",
            "telephone_number": "301-639-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERDYNAMICS, INC.",
            "address_2": "8181 PROFESSIONAL PLACE, SUITE 200",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-306-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ADRIENNE",
        "middle_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.