Debra Mary Rodgers
Individual provider Active NPI Professional Counselor · Wakefield, RI
NPI 1972022952 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1972022952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- MHC01102 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
24 Salt Pond Rd
D4
Wakefield, RI 02879-4334
Phone (401) 789-3694
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616003064 | RI | Practitioner - Mental Health Counselor | 0446761548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01102 | RI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Consultants of South County Inc | Counselor | Current |
Accepting new patients |
| Align Physical Therapy | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MHC01102 | RI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032558 | Medicaid | RI |
Other providers in Wakefield, RI
- Robert S Gilardetti, DMD, MD, Inc
- Stephanie A Roberts
- Melissa Ann Roch
- Macy Roderick
- John W Rodger
- Allison M Romano
- Michael J Roncarati
- Peter Raymond Rossi Jr.
- Lauren E Roth
- Mary Claire Roth
All providers in Wakefield, RI · Professional Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.