Individual provider Active NPI

Ryan Colby Rogers, M.ED.

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1962715318
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.001339 Issued in CO
Practice address
3570 E 12TH Ave Ste 107
Denver, CO 80206-3431
Phone
(423) 779-6922
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.001339 CO Primary

Addresses

Primary practice location

3570 E 12TH Ave Ste 107
Denver, CO 80206-3431

Mailing address

3570 E 12TH Ave Ste 107
Denver, CO 80206-3431
Phone (423) 779-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20250507000060 CO Practitioner - Mental Health Counselor 7911327085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Lane Montgomery Foundation, Inc.Group PAC ID 9537511043, 2 clinicians

Practice addresses (Care Compare)

3570 E 12TH Ave
Suite 200
Denver, CO 80206-3447
Phone (720) 361-8799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC.001339COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Lane Montgomery Foundation, Inc. Mental Health CurrentSince May 1, 2025 Accepting new patients
Nostrum Non-Profit CurrentSince Apr 6, 2025 Accepting new patients

Locations

3570 E 12th Ave
Ste 102
Denver, CO 80206
Phone (720) 319-3079

3570 E 12th Ave
Ste 107
Denver, CO 80206
Phone (303) 586-5013

Organizations & group practices 2

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1962715318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063431",
            "telephone_number": "423-779-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063431",
            "telephone_number": "423-779-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RYAN",
        "middle_name": "COLBY",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.001339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.