Provider Type Icon

MARY RODGERS LPC CSAC NPI 1922496066


NPI Information

NPI: 1922496066
Provider Name: MARY RODGERS, LPC, CSAC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3341 W NORTH AVE STE 101
MILWAUKEE, WI
ZIP 53208
Phone: (414) 241-5457
Get Directions

Mary Rodgers, LPC, CSAC is a counselor in Milwaukee, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Rodgers, LPC, CSAC NPI is 1922496066. 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:

3341 W NORTH AVE STE 101
MILWAUKEE, WI
ZIP 53208-457
Phone: (414) 241-5457

The enumeration date for this NPI number is 12/23/2014 and was last updated on 11/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor6631-125WISCONSINYes
2101YA0400XCounselorAddiction (Substance Use Disorder)17350-130WISCONSINNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.