MEDICARE: NIKKI LYNNE ROGERS LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	435	MT
2	101YP2500X	Professional Counselor	1226	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	743510	OTHER	MT	LCPC, LAC

General Provider Information

NPI Number	:	1295891356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI LYNNE ROGERS LCPC

Provider Business Mailing Address
First Line	:	PO BOX 3691
Second Line	:
City	:	LEWISTOWN
State	:	MT
Zip	:	59457-3691
Country	:	US
Telephone Number	:	406-538-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 W MAIN ST
Second Line	:	SUITE 325
City	:	LEWISTOWN
State	:	MT
Zip	:	59457-5703
Country	:	US
Telephone Number	:	406-538-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	09/11/2025

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