Active NPI
Lori R. Rodriquez-Fletcher, LICSW
- Mental Health Counselor
- Alliance, NE
National Provider Identifier
1033420831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4093
- Practice address
- 221 E 3Rd St
Alliance, NE 69301-3825 - Phone
- (308) 763-9261
- Fax
- (308) 761-3990
- NPI assigned
- Jun 25, 2010
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4093 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 1457 | NE |
Addresses
Primary practice location
221 E 3Rd St
Alliance, NE 69301-3825
Mailing address
PO Box 651
Alliance, NE 69301-0651
Phone (308) 763-9261
Other practice location 1
1814 Broadway
Scottsbluff, NE 69361-2458
Phone (308) 763-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457 | NE | MD | Mental Health Counselor |
| 4093 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodriquez-Fletcher Clinical Social Work Services LLC | Mental Health | Current | Accepting new patients |
| Bette J Odell MSW Services LLC | Mental Health | Current | Accepting new patients |
Locations
221 E 3rd St
Alliance, NE 69301
Phone (308) 760-4741
1814 Broadway
Scottsbluff, NE 69361
Phone (308) 763-9261
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Scottsbluff, NE
- NPI 1184723025
-
- Mental Health Counselor
- Alliance, NE
- NPI 1619790946
-
- Clinical Social Worker
- Alliance, NE
- NPI 1467294652
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1033420831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 651",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693010651",
"telephone_number": "308-763-9261",
"fax_number": "308-761-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E 3RD ST",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693013825",
"telephone_number": "308-763-9261",
"fax_number": "308-761-3990"
}
],
"practiceLocations": [
{
"address_1": "1814 Broadway",
"address_purpose": "LOCATION",
"city": "Scottsbluff",
"state": "NE",
"postal_code": "693612458",
"country_code": "US",
"telephone_number": "308-763-9261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIQUEZ-FLETCHER",
"first_name": "LORI",
"middle_name": "R.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4093",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "1457",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.