Laurisa Rogers, LCSW, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAURISA ROGERS, LCSW, PLLC

Practice address

6550 W Emerald St Ste 110
Boise, ID 83704-4700

Phone

(208) 921-3501

Fax

(888) 309-8143

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Laurisa Rogers, LCSWNPI 1306974365

Title

Owner

Phone

(208) 921-3501

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurisa Rogers, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1306974365
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1922757905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 E BERGESON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066014",
            "telephone_number": "208-921-3501",
            "fax_number": "888-309-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 W EMERALD ST STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044700",
            "telephone_number": "208-921-3501",
            "fax_number": "888-309-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURISA ROGERS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LAURISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-921-3501",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.