Individual provider Active NPI

Debra Mary Rodgers

  • Professional Counselor
  • Wakefield, RI
National Provider Identifier
1972022952
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MHC01102 Issued in RI
Practice address
24 Salt Pond Rd Ste H1
Wakefield, RI 02879-4337
Phone
(401) 789-3694
Fax
(401) 789-3748
NPI assigned
Sep 11, 2017
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MHC01102 RI Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste H1
Wakefield, RI 02879-4337

Mailing address

24 Salt Pond Rd Suite H1
Wakefield, RI 02904-5762
Phone (401) 789-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20250616003064 RI Practitioner - Mental Health Counselor 0446761548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Consultants of South County IncGroup PAC ID 8426063553, 14 clinicians

Practice addresses (Care Compare)

24 Salt Pond Rd
D4
Wakefield, RI 02879-4334
Phone (401) 789-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01102RIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Consultants of South County Inc Counselor CurrentSince Mar 1, 2025 Accepting new patients
Align Physical Therapy PastSince Aug 18, 2015 Accepting new patients

Locations

24 Salt Pond Rd
Ste D4
Wakefield, RI 02879
Phone (401) 667-4965

24 Salt Pond Rd
Ste H1
Wakefield, RI 02879
Phone (401) 789-2424

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1972022952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD SUITE H1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-789-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE H1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794337",
            "telephone_number": "401-789-3694",
            "fax_number": "401-789-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "DEBRA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "RI",
            "license": "MHC01102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.