MEDICARE: BRITTANY JORDAN ROGERS PSYD, LMHCA

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	103T00000X	Psychologist	PSYC.PY.70089778	WA
2	101Y00000X	Counselor
3	101YM0800X	Mental Health Counselor	MC61276817	WA

General Provider Information

NPI Number	:	1962878512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY JORDAN ROGERS PSYD, LMHCA

Provider Business Mailing Address
First Line	:	510 N 61ST AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98908-2700
Country	:	US
Telephone Number	:	509-705-7910
Fax Number	:

Provider Business Practice Location Address
First Line	:	12600 SE 38TH ST STE 130
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98006-6105
Country	:	US
Telephone Number	:	425-679-6056
Fax Number	:

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

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	03/12/2026

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