Active NPI
Teresa Rogers
- Professional Counselor
- North Canton, OH
National Provider Identifier
1942699202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1000181
- Practice address
- 7023A Mears Gate Dr NW
North Canton, OH 44720-8849 - Phone
- (330) 497-2452
- Fax
- (330) 497-2749
- NPI assigned
- Jan 9, 2015
- 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 | E.1000181 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | F.1400020 | OH |
Addresses
Primary practice location
7023A Mears Gate Dr NW
North Canton, OH 44720-8849
Mailing address
7023A Mears Gate Dr NW
North Canton, OH 44720-8849
Phone (330) 497-2452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1000181 | OH | MD | Professional Counselor |
| F.1400020 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Relationship Center of Northeast Ohio, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
6559 Wilson Mills Rd
Ste 102
Mayfield Village, OH 44143
Phone (440) 460-0140
7023 Mears Gate Dr NW
Ste A
North Canton, OH 44720
Phone (330) 497-2542
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.
-
dba The Relationship Center
- Mental Health Counselor
- North Canton, OH
- NPI 1205803673
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1942699202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023A MEARS GATE DR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447208849",
"telephone_number": "330-497-2452",
"fax_number": "330-497-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023A MEARS GATE DR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447208849",
"telephone_number": "330-497-2452",
"fax_number": "330-497-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1000181",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.1400020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.