Shalene Rogg, LPC-S | |
70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 | |
(480) 464-4431 | |
Not Available |
Full Name | Shalene Rogg |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 70 N Mcclintock Dr Ste 4, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659037620 | NPI | - | NPPES |
LPC-20422 | Other | AZ | STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-20422 (Arizona) | Primary |
Entity Name | Mindpath Health Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821703885 PECOS PAC ID: 7416321872 Enrollment ID: O20230327000408 |
Mailing Address | Practice Location Address |
---|---|
Shalene Rogg, LPC-S 12640 N 2nd Pl, Phoenix, AZ 85022-5404 Ph: (785) 430-8830 | Shalene Rogg, LPC-S 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 Ph: (480) 464-4431 |
Lisa Oddo Barras, Counselor Medicare: Medicare Enrolled Practice Location: 1600 W Chandler Blvd Ste 220, Chandler, AZ 85224 Phone: 602-753-7057 | |
Christina Michelle Brown, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 N Dobson Rd Ste 5, Chandler, AZ 85224 Phone: 480-646-6419 | |
Michelle Krzeszowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 N Alma School Rd, Chandler, AZ 85224 Phone: 480-641-1165 | |
Miss Debra Jean Mayo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6909 W Ray Rd, Chandler, AZ 85226 Phone: 623-688-8010 | |
Mr. Gregory Clopton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12223 E Cloud Rd, Chandler, AZ 85249 Phone: 480-329-6770 | |
Mrs. Elvira Estrada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 N Alma School Rd Ste E, Chandler, AZ 85224 Phone: 480-641-1165 | |
Lynn Goodwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 W Chandler Blvd Ste C-8, Chandler, AZ 85225 Phone: 480-447-5420 |