Active NPI
Viola Kaye Rogers, CADCI/CRM/PWS/QMHA-I
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1992366652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21-QMHA-I-003245
- Practice address
- 703 NE Hancock St
Portland, OR 97212-3955 - Phone
- (503) 230-9875
- Fax
- (503) 331-3441
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23-CRM-2480 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-05-12 | OR | |
| Peer Specialist | 175T00000X | THW000106357 | OR | |
| Mental Health Counselor | 101YM0800X | 21-QMHA-I-003245 | OR | Primary |
Addresses
Primary practice location
703 NE Hancock St
Portland, OR 97212-3955
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (503) 224-1044
Other practice location 1
1438 SE Division St
Portland, OR 97202-1140
Phone (503) 548-0346
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500764863 | Medicaid | OR | |
| 500784224 | Medicaid | OR | |
| 500804633 | Medicaid | OR |
Other names 1
- Kaye Rogers
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 |
|---|---|---|---|
| 23-CRM-2480 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| 21-QMHA-I-003245 | OR | MD | Mental Health Counselor |
| THW000106357 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1992366652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "503-224-1044",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 NE HANCOCK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123955",
"telephone_number": "503-230-9875",
"fax_number": "503-331-3441"
}
],
"practiceLocations": [
{
"address_1": "1438 SE Division St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972021140",
"country_code": "US",
"telephone_number": "503-548-0346",
"fax_number": "503-232-5959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "VIOLA",
"middle_name": "KAYE",
"credential": "CADCI/CRM/PWS/QMHA-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "23-CRM-2480",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-05-12",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "THW000106357",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "21-QMHA-I-003245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500764863",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500784224",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500804633",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYE",
"last_name": "ROGERS",
"credential": "CADCI/CRM/PWS/QMHA-I",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.