Active NPI
Mina Rodgers, LPC, NCC
- Professional Counselor
- Grovetown, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013787
- Practice address
- 4039 Gateway Blvd
Grovetown, GA 30813-3389 - Phone
- (706) 498-9570
- Fax
- (678) 369-5762
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013787 | GA | Primary |
| Mental Health Counselor | 101YM0800X | LPC013787 | GA |
Addresses
Primary practice location
4039 Gateway Blvd
Grovetown, GA 30813-3389
Mailing address
3633 Wheeler Rd # 365
Augusta, GA 30909-6549
Phone (678) 778-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Corporate Ctr CT
Stockbridge, GA 30281-6388
Phone (770) 954-8685
4039 Gateway Blvd
Grovetown, GA 30813-3389
Phone (706) 498-9570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013787 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1202 Town Park Ln
Ste 300
Evans, GA 30809
Phone (706) 210-8855
4039 Gateway Blvd
Ste 201
Grovetown, GA 30813
Phone (706) 432-6866
4039 Gateway Blvd
Grovetown, GA 30813
Phone (706) 498-9570
3506 Professional Cir
Ste B
Martinez, GA 30907
Phone (706) 210-8855
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1912695222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 WHEELER RD # 365",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096549",
"telephone_number": "678-778-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 GATEWAY BLVD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308133389",
"telephone_number": "706-498-9570",
"fax_number": "678-369-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "MINA",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013787",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.