MR. KENNETH ROGERS JR.


Address: 185 Devonshire St, Suite 502, Boston, MA 02110-1407
Phone: 6175952121

MR. KENNETH ROGERS JR. (NPI# 1417354994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417354994
Entity Type Individual
Full Name MR. KENNETH ROGERS JR.
Credential LMHC
Practice Address 185 Devonshire St
Suite 502
Boston
MA 02110-1407
Mailing Address 69 Day St
Jamaica Plain
MA 02130-1151
Practice Telephone 6175952121
Mailing Telephone 6175952121
Enumeration Date 2014-11-26
Last Update Date 2014-11-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
8265 MA Behavioral Health & Social Service Providers

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Office Location

Street Address 185 DEVONSHIRE ST
SUITE 502
City BOSTON
State MA
Zip Code 02110-1407

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02110

Improve Information

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Dataset Information

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.

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