MS. NICOLE ROGERS LAC
NPI 1093464752
Counselor - Mental Health in Cave Creek, AZ

Q: What is Nicole Rogers's NPI number?

The NPI number for Nicole Rogers is 1093464752. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Nicole Rogers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Rogers was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2022PECOS Enrolled

29858 N TATUM BLVD # 100, CAVE CREEK, AZ 85331(480) 923-6267 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Nicole Rogers Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE ROGERS LAC (NPI 1093464752) is an individual mental health provider in Cave Creek, Arizona, licensed in Arizona (19645) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093464752

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. NICOLE ROGERSCredential: LAC

Location Address29858 N TATUM BLVD # 100Cave Creek, AZ 85331-5865

Mailing Address125 E Guadalupe Rd Apt 11206Gilbert, AZ 85234-4692 · (480) 343-3763

Phone(480) 923-6267

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1093464752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · 19645

29858 N TATUM BLVD # 100, Cave Creek, AZ 85331

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Other Identifiers 1

Medicaid81261553AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Rogers Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729556261

PECOS Enrollment IDI20260504006260

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Rogers's NPI number?

The NPI number for Nicole Rogers is 1093464752. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Nicole Rogers located?

Nicole Rogers practices at 29858 N Tatum Blvd # 100, Cave Creek, AZ 85331. The listed phone number is (480) 923-6267.

What is Nicole Rogers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Rogers enrolled in Medicare?

Yes. Nicole Rogers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Rogers was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.