Persephone Rogers, M.S, LSSP, NCSP
Psychologist, School in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1295560191
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1295560191
- Entity type
- Individual (NPI-1)
- Name
- Persephone Rogers
- Credential
- M.S, LSSP, NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 72874 | TX | Yes |
Practice location
2803 Riverside Pkwy Apt 5203Grand Prairie, TX 75050-8748
Phone 713-208-1379
Mailing address
2803 Riverside Pkwy Apt 5203Grand Prairie, TX 75050-8748
Phone 713-208-1379
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other School Psychologist providers in Grand Prairie, TX
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