Provider Demographics
NPI:1689561938
Name:ROGERS, REBEKAH ST JOHN (M ED, LPCA)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:ST JOHN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:M ED, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 ASCOT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-3692
Mailing Address - Country:US
Mailing Address - Phone:864-569-5364
Mailing Address - Fax:
Practice Address - Street 1:342 ASCOT RIDGE LN
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-3692
Practice Address - Country:US
Practice Address - Phone:864-569-5364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10298101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor