ALYSSA LATONIA RODGERS (NPI# 1134611239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134611239 |
Entity Type | Individual |
Full Name | ALYSSA LATONIA RODGERS |
Other Name | ALYSSA LATONIA IDLEBURG |
Credential | NCC, LCAS-A, IL: LPC |
Practice Address |
7512 Spring Spruce Ln Charlotte NC 28227 |
Mailing Address |
7512 Spring Spruce Ln Charlotte NC 28227-1417 |
Practice Telephone | 3095735818 |
Mailing Telephone | 3095735818 |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-07-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-24523 | NC | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
A13964 | NC | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
178.012997 | IL | Behavioral Health & Social Service Providers |
Street Address |
7512 SPRING SPRUCE LN |
City | CHARLOTTE |
State | NC |
Zip Code | 28227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
1598169724 | Kareem Puranda | Counselor | 5333 Bellflower Ln, Charlotte, NC 28227 | 2014-10-17 |
Find all providers in zip 28227 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.