Provider Demographics
NPI:1861165664
Name:ROGATO, JENNA (LCMHC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:ROGATO
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 BRECKENRIDGE WAY UNIT 26
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-4027
Mailing Address - Country:US
Mailing Address - Phone:603-614-6008
Mailing Address - Fax:
Practice Address - Street 1:36 COUNTRY CLUB RD UNIT 924
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6978
Practice Address - Country:US
Practice Address - Phone:603-614-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2228OtherSTATE OF NEW HAMPSHIRE