Healthcare Provider Details

I. General information

NPI: 1184550105
Provider Name (Legal Business Name): JAKOB HOWARD ROGAS PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9766 JEFFERSON HWY
BATON ROUGE LA
70809-2716
US

IV. Provider business mailing address

33905 CYPRESS BLUFF DR
DENHAM SPRINGS LA
70706-1936
US

V. Phone/Fax

Practice location:
  • Phone: 225-800-6856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11334
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: