HAILEY RODGERS CPRS
NPI 1396362349
Peer Specialist in Johnson City, TN
- Individual
- Female
- Peer Specialist
About HAILEY RODGERS
This page provides the complete NPI Profile along with additional information for Hailey Rodgers, a provider established in Johnson City, Tennessee with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1396362349 assigned on June 2020. The practitioner's primary taxonomy code is 175T00000X with license number 1234 (TN). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1396362349 Verify this NPI
- Provider Name
- HAILEY RODGERS CPRS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2408 SUSANNAH ST STE 1 JOHNSON CITY, TN 37601
- Location Phone
- (423) 434-6677
- Location Fax
- (423) 461-0000
- Mailing Address
- 504 BEECHWOOD DR KINGSPORT, TN 37663
- Mailing Phone
- (423) 767-0830
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-25-2020
- Last Update Date
- 06-25-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 1234
- License State
- TN
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 1234 (TN) |
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
JOHNSON CITY, TN 37601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396362349, enumerated as an "individual" on June 25, 2020.
The provider is located at 2408 SUSANNAH ST STE 1 JOHNSON CITY, TN 37601 and the phone number is (423) 434-6677.
Peer Specialist with taxonomy code 175T00000X.
