Shane Casey Rogers, LPCC
Counselor, Mental Health in Bend, OR. Individual provider (NPI-1).
NPI number1982118402
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1982118402
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shane Casey Rogers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2017
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C5659 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | E.1700416 | OH |
Practice location
19197 Kiowa RdBend, OR 97702-8918
Phone 614-425-1540
Mailing address
19197 Kiowa RdBend, OR 97702-8918
Phone 614-425-1540
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