Individual provider Active NPI

Teresa Rogers

  • Professional Counselor
  • North Canton, OH
National Provider Identifier
1942699202
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1000181 Issued in OH
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

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1000181OHMDProfessional Counselor
F.1400020OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Relationship Center of Northeast Ohio, LLC Marriage & Family Therapist CurrentSince Aug 8, 2021 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.

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

Verify at the official NPI Registry.