Active NPI
Monique Rodriguez, M.A., LPC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1023419777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0208691
- Practice address
- 1840 Lester Dr NE
Albuquerque, NM 87112-2847 - Phone
- (512) 902-4357
- NPI assigned
- Sep 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70309 | TX | |
| Professional Counselor | 101YP2500X | CCMH0208691 | NM | Primary |
Addresses
Primary practice location
1840 Lester Dr NE
Albuquerque, NM 87112-2847
Mailing address
1840 Lester Dr NE
Albuquerque, NM 87112-2847
Phone (512) 902-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0208691 | NM | MD | Professional Counselor |
| 70309 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713571200000",
"number": "1023419777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 LESTER DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122847",
"telephone_number": "512-902-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 LESTER DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122847",
"telephone_number": "512-902-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MONIQUE",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70309",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0208691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.