Individual provider Active NPI

Carolyn A. Rogers, LMHC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1972678738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004165 Issued in FL
Practice address
2065 Delta Way # 1
Tallahassee, FL 32303-4227
Phone
(850) 656-1822
Fax
(850) 656-2905
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004165 FL Primary

Addresses

Primary practice location

2065 Delta Way # 1
Tallahassee, FL 32303-4227

Mailing address

2065 Delta Way # 1
Tallahassee, FL 32303-4227
Phone (850) 656-1822

Other identifiers 1

IdentifierTypeStateIssuer
Z7910OtherFLBLUE CROSS BLUE FIELD

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: No
  • 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004165FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Tierney, LCSW, LLC Past Accepting new patients

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972678738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 DELTA WAY # 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034227",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 DELTA WAY # 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034227",
            "telephone_number": "850-656-1822",
            "fax_number": "850-656-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CAROLYN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "004165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE FIELD",
            "identifier": "Z7910",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.