MS. JENNIFER DANIELLE ROGERS MA LPC NCC CCTP NPI 1073126397

NPI Information

NPI: 1073126397
Provider Name: MS. JENNIFER DANIELLE ROGERS, MA, LPC, NCC, CCTP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1843 S BROADWAY AVE STE 201B
BOISE, ID
ZIP 83706
Phone: (208) 740-1284
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MS. Jennifer Danielle Rogers, MA, LPC, NCC, CCTP is a professional counselor in Boise, ID. MS. Jennifer Danielle Rogers, MA, LPC, NCC, CCTP NPI is 1073126397. 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:

1843 S BROADWAY AVE STE 201B
BOISE, ID
ZIP 83706-862
Phone: (208) 740-1284
Fax: (208) 906-0815

The enumeration date for this NPI number is 8/26/2020 and was last updated on 10/19/2021.

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	101YM0800X	Counselor	Mental Health	LPC-7792	IDAHO	No
2	101YP2500X	Counselor	Professional	LPC-7792	IDAHO	Yes

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	1073126397	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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