Provider Demographics
NPI:1215681077
Name:ROGERS, RACHEL (MS, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ROGERS
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 CHERRY BLOSSOM DR APT 202
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3049
Mailing Address - Country:US
Mailing Address - Phone:815-238-4430
Mailing Address - Fax:
Practice Address - Street 1:1809 CHERRY BLOSSOM DR APT 202
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3049
Practice Address - Country:US
Practice Address - Phone:815-238-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC0019952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health