Provider Demographics
NPI:1962633941
Name:ROGERS, KRISTIN HOPWOOD (LMHC, LCMHC, LADC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:HOPWOOD
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LMHC, LCMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 DONOVANS WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1900
Mailing Address - Country:US
Mailing Address - Phone:617-406-9298
Mailing Address - Fax:
Practice Address - Street 1:26 DONOVANS WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-1900
Practice Address - Country:US
Practice Address - Phone:617-406-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1975101YM0800X
MA504759101YM0800X
MA10141101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)