MRS. TIFFANY SHANETTE ROGERS MSLPCALCASA NPI 1316345242

NPI Information

NPI: 1316345242
Provider Name: MRS. TIFFANY SHANETTE ROGERS, MS,LPCA,LCASA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1613 BROWN OWL DR
RALEIGH, NC
ZIP 27610
Phone: (919) 586-4694
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MRS. Tiffany Shanette Rogers, MS,LPCA,LCASA is an addiction (substance use disorder) counselor in Raleigh, NC. MRS. Tiffany Shanette Rogers, MS,LPCA,LCASA NPI is 1316345242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1613 BROWN OWL DR
RALEIGH, NC
ZIP 27610-096
Phone: (919) 586-4694

The NPI 1316345242 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 2/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20789	NORTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	A12780	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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