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

Crystal Marie Rodgers, CPSS

Individual provider Peer Specialist · NPI 1053167080

Crystal Marie Rodgers, CPSS is a Peer Specialist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

756 Tyvola Rd
Charlotte, NC 28217-3588
Phone: (980) 265-1001
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2022-7765-01 (NC)

Record details

NPI number1053167080
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSS
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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