Healthcare Provider Details

I. General information

NPI: 1477469179
Provider Name (Legal Business Name): KATHERINE H ROGERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 BROOKSIDE RD
ORINDA CA
94563-3418
US

IV. Provider business mailing address

24 BROOKSIDE RD
ORINDA CA
94563-3418
US

V. Phone/Fax

Practice location:
  • Phone: 510-847-8171
  • Fax:
Mailing address:
  • Phone: 510-847-8171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number98999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: