Shelly Marie Rodgers, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701012778 Issued in VA

Practice address

6465 College Park SQ Ste 300
VA Beach, VA 23464-3622

Phone

(757) 351-0057

Fax

(757) 351-6890

NPI assigned

Oct 18, 2023

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ict Services, Inc.

  • Clinical Social Worker
  • VA Beach, VA
  • NPI 1619340858
  Medicare reassignment NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1790567394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ STE 300",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234643622",
            "telephone_number": "757-351-0057",
            "fax_number": "757-351-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 COLLEGE PARK SQ STE 300",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234643622",
            "telephone_number": "757-351-0057",
            "fax_number": "757-351-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701012778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Psychotherapy & Hypnosis
• Zachary Rasor, DPM
• David William Reid, MD
• Nima Rezaie, M.D.
• Joan Rodgers, SLP
• Deborah Lynn Roebuck, DC
• Precious Kenora Rowe
• Royal Hearts Homecare LLC
• Safe Haven Residential Care (Safe Haven Residential Care LLC)
• Khin Mimi San, BCHD

• Counselor in VA Beach, VA
• Providers in VA Beach, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.