KATHLEEN ROGAN (NPI# 1508983826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508983826 |
| Entity Type | Individual |
| Full Name | KATHLEEN ROGAN |
| Credential | MSW |
| Practice Address |
1150 Red John Dr Daytona Beach FL 32124-1016 |
| Practice Telephone | 3862361812 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073698841 | Kathleen Rogan | Social Worker | 450 Seaview Ave, Opd Dept, Staten Island, NY 10305-3401 | 2006-10-27 |
| Street Address |
1150 RED JOHN DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| 1114049715 | Linda Jean Crandall | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-04-04 |
| 1487770137 | Amy V Ballou | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-22 |
| 1457476863 | Scott Henry March | Social Worker | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1750407110 | Liza M Sampson | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-03-21 |
| 1912032483 | Colleen Ritchie | Counselor | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2007-02-23 |
| 1497734735 | Leo Salter | Psychologist | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-14 |
| 1669450466 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1376521187 | Sma Healthcare Inc | Community Based Residential Treatment Facility, Mental Illness | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648841 | Hakeem B. Rufai | Counselor | 1220 Willis Ave # 81, Daytona Beach, FL 32114-2810 | 2019-03-18 |
| 1891050936 | Karen Mitchell | Counselor | 1323 S Shangri La Dr, Daytona Beach, FL 32119-1502 | 2012-07-04 |
| 1982998811 | Arlicia Thomas | Counselor | 808 Kathy St, Daytona Beach, FL 32114-6037 | 2011-06-08 |
| 1346546686 | Nancy B. Figueroa | Counselor | 211 N Ridgewood Ave, Suite 204, Daytona Beach, FL 32114-7515 | 2011-02-03 |
| 1447735261 | Katarzyna Hanna Potocka | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-09-27 |
| 1619485315 | Symone Ayana Ellis | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-16 |
| 1295242709 | Amy Kundinger | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-05 |
| 1366959264 | Kayla Marie Goldsby | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1730696634 | Justin William Knighton | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1194232140 | Shaneqwa Credle | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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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.