Active NPI
Penny Rogers
- Social Worker
- Harrison, AR
National Provider Identifier
1982312708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9835-M
- Practice address
- 702 N Main St Ste F
Harrison, AR 72601-2920 - Phone
- (870) 340-2636
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9835-M | AR | Primary |
Addresses
Primary practice location
702 N Main St Ste F
Harrison, AR 72601-2920
Mailing address
2308 Henley Dr
Harrison, AR 72601-4875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9835-M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Current | Accepting new patients |
Locations
702 N Main St
Ste F
Harrison, AR 72601
Phone (870) 204-6980
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.
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1356604219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1982312708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 HENLEY DR",
"city": "HARRISON",
"state": "AR",
"postal_code": "726014875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N MAIN ST STE F",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012920",
"telephone_number": "870-340-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "9835-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.