Provider Demographics
NPI:1174134597
Name:ROGERS, JAMES (LPC-T)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ROGERS
Suffix:
Gender:M
Credentials:LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 CENTERVIEW PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4131
Mailing Address - Country:US
Mailing Address - Phone:901-752-4900
Mailing Address - Fax:
Practice Address - Street 1:8000 CENTERVIEW PKWY STE 301
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4131
Practice Address - Country:US
Practice Address - Phone:901-752-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
U00483441101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU00483441OtherUNIVERSITY OF MEMPHIS