SHELLY MARIE RODGERS LPC
NPI 1790567394
Counselor in Va Beach, VA

Active since October 18, 2023PECOS Enrolled
6465 COLLEGE PARK SQ STE 300, VA BEACH, VA 23464(757) 351-0057(757) 351-6890 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Oct 18, 2023 (2 updates tracked since 2023).

About Shelly Marie Rodgers Lpc NPPES

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

SHELLY MARIE RODGERS LPC (NPI 1790567394) is an individual counselor in Va Beach, Virginia, licensed in Virginia (0701012778) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790567394
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHELLY MARIE RODGERSCredential: LPC
Location Address6465 COLLEGE PARK SQ STE 300Va Beach, VA 23464-3622
Mailing Address6465 College Park Sq Ste 300Va Beach, VA 23464-3622 · (757) 351-0057 · Fax (757) 351-6890
Fax(757) 351-6890
Sole ProprietorNo
Enumeration DateOctober 18, 2023
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1790567394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in VA · 0701012778
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6465 COLLEGE PARK SQ STE 300, Va Beach, VA 23464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Marie Rodgers Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shelly Rodgers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Clinical
6465 COLLEGE PARK SQ STE 300
Va Beach, VA 23464
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6465 COLLEGE PARK SQ STE 300
VA BEACH, VA 23464
Social Worker (Clinical)
6465 COLLEGE PARK SQ STE 300
VA BEACH, VA 23464

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 Shelly Rodgers's NPI number?

The NPI number for Shelly Rodgers is 1790567394. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Shelly Rodgers located?

Shelly Rodgers practices at 6465 College Park Sq Ste 300, VA Beach, VA 23464. The listed phone number is (757) 351-0057.

What is Shelly Rodgers's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shelly Rodgers enrolled in Medicare?

Yes. Shelly Rodgers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelly Rodgers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Rodgers reassigns Medicare benefits to Ict Services, Inc. (Va Beach, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelly Rodgers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Rodgers accept?

Health plans from Oscar Health list Shelly Rodgers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Rodgers was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.