Individual provider Active NPI

Luann Rodriguez, PHD, LMFT

  • Marriage & Family Therapist
  • Cutler Bay, FL
National Provider Identifier
1033341862
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 2335 Issued in FL
Practice address
18901 SW 106TH Ave
Suite # a-108
Cutler Bay, FL 33157-7661
Phone
(305) 283-4701
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT 2335 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave
Suite # a-108
Cutler Bay, FL 33157-7661

Mailing address

18901 SW 106TH Ave Ste 108
Cutler Bay, FL 33157-7658
Phone (786) 231-0910

Other identifiers 1

IdentifierTypeStateIssuer
009605700MedicaidFL

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT 2335FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Restoration Services Inc. Marriage & Family Therapist PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1033341862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE STE 108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577658",
            "telephone_number": "786-231-0910",
            "fax_number": "786-231-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE",
            "address_2": "SUITE # A-108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577661",
            "telephone_number": "305-283-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUANN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009605700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.