Individual provider Active NPI

Marta Yomara Rodriguez

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1023638566
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A022140316 Issued in CA
Practice address
5311 College Oak Dr Apt 16
Sacramento, CA 95841-2575
Phone
(787) 249-1578
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X A022140316 CA Primary

Addresses

Primary practice location

5311 College Oak Dr Apt 16
Sacramento, CA 95841-2575

Mailing address

5311 College Oak Dr Apt 16
Sacramento, CA 95841-2575
Phone (787) 249-1578

Electronic endpoints 5

TypeEndpointUseAffiliation
SOAP URL yomararodriguez1@gmail.com Direct
SOAP URL yomararodriguez1@gmail.com Direct
SOAP URL yomararodriguez1@gmail.com Direct
SOAP URL yomararodriguez1@gmail.com Direct
SOAP URL yomararodriguez1@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
A022140316CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1023638566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 COLLEGE OAK DR APT 16",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412575",
            "telephone_number": "787-249-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 COLLEGE OAK DR APT 16",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412575",
            "telephone_number": "787-249-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARTA",
        "middle_name": "YOMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A022140316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yomararodriguez1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5311 College Oak Dr Apt 16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958412575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yomararodriguez1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5311 College Oak Dr Apt 16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958412575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yomararodriguez1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5311 College Oak Dr Apt 16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958412575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yomararodriguez1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5311 College Oak Dr Apt 16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958412575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yomararodriguez1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5311 College Oak Dr Apt 16",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958412575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.