KENNETH ROGERS


Address: 122 Bow St Ste A, Fayetteville, NC 28301-2308
Phone: 9196756549

KENNETH ROGERS (NPI# 1528458072) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 2015213901 NC Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC DWI FACILITY CODE 51144 01

Other Providers KENNETH ROGERS

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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

Office Location

Street Address 122 BOW ST STE A
City FAYETTEVILLE
State NC
Zip Code 28301-2308

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28301

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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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