Therron Jai Rogers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3391 Helene Rieder Dr
Montgomery, IL 60538-6025

Phone

(630) 882-0050

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Elevated Mind Counseling, LLC

  • Mental Health Counselor
  • Lisle, IL
  • NPI 1124889746
  NPD Authorized official
• Master Your Mind Counseling and Consultation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, IL
  • NPI 1174206650
  NPD Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1992260905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 HELENE RIEDER DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605386025",
            "telephone_number": "630-882-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 HELENE RIEDER DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605386025",
            "telephone_number": "630-882-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "THERRON",
        "middle_name": "JAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Robinson, LSW
• Vita Ladawn Robinson, LCSW
• Vanessa Rocha
• Rock Steady Hand Therapy Rehabilitation and Wellness
• Jakob Rodriguez, ATC
• William Robert Roggenkamp, M.D.
• Alejandra Rosales
• Leslie Rosales
• Noah Rozek, RBT
• Sam'S West, Inc

• Mental Health Counselor in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.