KENNETH ROGERS (NPI# 1528458072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528458072 |
| Entity Type | Individual |
| Full Name | KENNETH ROGERS |
| Practice Address |
122 Bow St Ste A Fayetteville NC 28301-2308 |
| Practice Telephone | 9196756549 |
| Mailing Telephone | 9196756549 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 2015213901 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DWI FACILITY CODE | 51144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811337124 | Kenneth Alexander Rogers | Chiropractor | 4036-b3 River Oaks Dr, Myrtle Beach, SC 29579-6615 | 2013-07-01 |
| 1174643431 | Kenneth Martin Rogers | Case Manager/Care Coordinator | 3150 Boynton Drive, Ringgold, GA 30736 | 2007-03-30 |
| 1558495580 | Kenneth Thomas Rogers | Psychiatry & Neurology | 1884 Columbia Rd Nw, Unit 316, Washington, DC 20009-5155 | 2007-03-14 |
| 1215099163 | Kenneth Emerson Rogers | Psychologist | 9324 W Stockton Blvd, Elk Grove, CA 95758-8012 | 2006-12-15 |
| 1699776609 | Kenneth John Rogers | Specialist/Technologist | 416 Avondale Ave, Haddonfield, NJ 08033-2810 | 2005-08-02 |
| 1922596998 | Kenneth Charles Rogers | Psychologist | 425 Harvard St, Dorchester, MA 02124-2737 | 2018-04-25 |
| 1356712301 | Kenneth Rogers | Marriage & Family Therapist | 4010 Barranca Pkwy Ste 252, Irvine, CA 92604-1716 | 2015-10-16 |
| 1417354994 | Kenneth Rogers Jr. | Counselor | 185 Devonshire St, Suite 502, Boston, MA 02110-1407 | 2014-11-26 |
| 1760679153 | Kenneth Paul Rogers | Pharmacist | 1164 Rutherford Rd, Greenville, SC 29609-3906 | 2007-09-28 |
| 1477653855 | Kenneth A Rogers Jr. | Otolaryngology | 3435 Nw 56th, Suite 711a, Oklahoma City, OK 73112 | 2006-09-25 |
| Street Address |
122 BOW ST STE A |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572896 | Porsha Griffin | Peer Specialist | 809 Park Ave Ste F, Greensboro, NC 27405-7811 | 2019-11-07 |
| 1235787227 | Cecilia Davis Smith | Peer Specialist | 1022 S Main St., Lillington, NC 27546-2754 | 2019-09-03 |
| 1043876220 | Connie C Hargrove | Peer Specialist | 1161 Pinkney Rd Nw, Pikeville, NC 27863-8690 | 2019-05-14 |
| 1538633128 | Krystal Hocutt | Peer Specialist | 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 | 2019-01-16 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1063925774 | Pervis Nash | Peer Specialist | 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 | 2017-11-16 |
| 1760919112 | Dana Watson White | Peer Specialist | 327 Holland Dr, Statesville, NC 28677-4168 | 2017-05-16 |
| 1619408713 | Vera Jacobs | Peer Specialist | 415 Princess Ann Dr, Durham, NC 27703-2518 | 2017-03-21 |
| 1003356940 | Donald Sawyer IIi | Peer Specialist | 1450 E 11th St, Winston Salem, NC 27101-3209 | 2017-02-25 |
| 1215395207 | Troy Allen Hunt | Peer Specialist | 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 | 2016-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.