Organization Active NPI

Rodney Rousset, M.a., LPC, P.a.

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1023291317
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16771 Issued in TX
Legal business name
RODNEY ROUSSET, M.A., LPC, P.A.
Practice address
6800 Park Ten Blvd
Ste 262- South
San Antonio, TX 78213-4211
Phone
(210) 393-1882
Fax
(210) 495-6049
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rodney Roussett, LPCNPI 1669541579
Title
Owner
Phone
(210) 393-1882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 16771 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd
Ste 262- South
San Antonio, TX 78213-4211

Mailing address

6800 Park Ten Blvd
Ste 262- South
San Antonio, TX 78213-4211
Phone (210) 393-1882

Other identifiers 1

IdentifierTypeStateIssuer
028651001MedicaidTX

National Provider Directory

National Provider Directory

Locations

6800 Park Ten Blvd
Ste 262S
San Antonio, TX 78213
Phone (210) 393-1882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1023291317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "STE 262- SOUTH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-393-1882",
            "fax_number": "210-495-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "STE 262- SOUTH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-393-1882",
            "fax_number": "210-495-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY ROUSSET, M.A., LPC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ROUSSETT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-393-1882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028651001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.