Active NPI
Rodney Rousset, M.a., LPC, P.a.
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1023291317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodney Roussett, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028651001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1669541579
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.