Healthcare Provider Details

I. General information

NPI: 1548180029
Provider Name (Legal Business Name): SUMMAR NICOLE ROGERS LPC-MHSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUMMAR NICOLE ROGERS LPC-MHSP

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 MCCALLIE AVE
CHATTANOOGA TN
37404-3026
US

IV. Provider business mailing address

501 IRON WOOD TRL
CHATTANOOGA TN
37421-7314
US

V. Phone/Fax

Practice location:
  • Phone: 423-756-2894
  • Fax:
Mailing address:
  • Phone: 423-667-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8771
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: