Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Nicole Rogers-Edmonds

Individual provider Case Manager/Care Coordinator · NPI 1093288656

Ashley Nicole Rogers-Edmonds is a Mental Health Counselor in Pryor, Oklahoma. Qualified in 2021, 5 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

109 N Fairland St
Pryor, OK 74361-4205
Phone: (918) 825-1405
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10949 (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1093288656
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pryor