Healthcare Provider Details

I. General information

NPI: 1447869128
Provider Name (Legal Business Name): ANDREA HARTMANN ROGERS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANDREA DAWN ROGERS

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 MASSACHUSETTS AVE # 276
ARLINGTON MA
02476-4101
US

IV. Provider business mailing address

1337 MASSACHUSETTS AVE # 276
ARLINGTON MA
02476-4101
US

V. Phone/Fax

Practice location:
  • Phone: 781-205-0657
  • Fax:
Mailing address:
  • Phone: 781-205-0657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10001738
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: