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

Nicole Rogers, LISAC

Individual provider Case Manager/Care Coordinator · NPI 1265838890

Nicole Rogers, LISAC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices as a sole proprietor.

Years since qualifying
12
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3222 N 37th St
Phoenix, AZ 85018-6304
Phone: (602) 599-5554
Fax: (602) 599-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1265838890
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISAC
Sole proprietorYes
NPI enumeratedNovember 10, 2014
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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