AMANDA LEAH RODRIGUEZ ROGERS – Professional Counselor, NPI 1104606847

AMANDA LEAH RODRIGUEZ ROGERS is a healthcare provider. based in Hunlock creek, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for AMANDA LEAH RODRIGUEZ ROGERS is 1104606847

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEAH RODRIGUEZ ROGERS
NPI
1104606847
Phone
(570) 239-8052
Address
2182 STATE ROUTE 29 HWY
Enumeration Date
2 October 2023
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708256425581
Graduation Year
2021 (5 years ago)
PAC ID
9830619170
Group Practice PAC ID
1052567617
Professional Enrollment ID
I20250218000505
Address ID
PA187023808WI335XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for AMANDA LEAH RODRIGUEZ ROGERS

  • 2182 STATE ROUTE 29 HWY

    HUNLOCK CREEK, PA 186214512

    Phone: (570) 239-8052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250218000505IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052567617View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Nurse PractitionerPA
Clinical Social WorkerPA
-PA
Clinical Social WorkerPA
Nurse PractitionerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Does AMANDA LEAH RODRIGUEZ ROGERS have a public NPI I can cite?
Public records show AMANDA LEAH RODRIGUEZ ROGERS under NPI 1104606847.
Should I treat AMANDA LEAH RODRIGUEZ ROGERS as an active provider?
Patients and plans typically see AMANDA LEAH RODRIGUEZ ROGERS as active in the national extract.
How should patients interpret AMANDA LEAH RODRIGUEZ ROGERS's specialty?
The extract shows Professional Counselor for AMANDA LEAH RODRIGUEZ ROGERS. Clinical services aligned with this taxonomy classification.
Can patients visit AMANDA LEAH RODRIGUEZ ROGERS in Hunlock Creek, Pennsylvania?
For routing, start with Hunlock Creek, Pennsylvania for AMANDA LEAH RODRIGUEZ ROGERS, then verify phone and hours locally.
Can I export AMANDA LEAH RODRIGUEZ ROGERS's record?
You can download the official NPPES record; we summarize key fields for readability.

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