Individual provider Active NPI

Michelle Rogers

  • Addiction (Substance Use Disorder) Counselor
  • Rochelle, IL
National Provider Identifier
1982007605
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1321 N 7TH St
Rochelle, IL 61068-1185
Phone
(815) 562-3801
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1321 N 7TH St
Rochelle, IL 61068-1185

Mailing address

1321 N 7TH St
Rochelle, IL 61068-1185
Phone (815) 562-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170616001513 IL Practitioner - Clinical Social Worker 9234407180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Therapy LLCGroup PAC ID 6204241862, 2 clinicians

Practice addresses (Care Compare)

2132 Deep Water LN
Suite 212B
Naperville, IL 60564-8498
Phone (630) 473-3971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good Therapy LLC CurrentSince Mar 8, 2021 Accepting new patients

Locations

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

2132 Deep Water Ln
Ste 212B
Naperville, IL 60564
Phone (630) 473-3971

1250 N Mill St
Ste 101
Naperville, IL 60563
Phone (630) 473-3971

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.michellerogers@146897.advancedmd-direct.com

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1982007605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N 7TH ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681185",
            "telephone_number": "815-562-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N 7TH ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681185",
            "telephone_number": "815-562-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.