Kelly Ann Rodriguez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7499 Issued in CT

Practice address

420 Highland Ave Ste B1
Cheshire, CT 06410-2527

Phone

(203) 931-5566

Fax

(888) 531-8142

NPI assigned

Sep 15, 2014

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Ann Decampos Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  Professional

  Medicare reassignment Care Compare group NPD
• Therapeutic Solutions of Cheshire

  • Professional Counselor
  • Cheshire, CT
  • NPI 1285255752
  Medicare reassignment NPD (past)
• Wellmore, Inc.

  • Counselor
  • Waterbury, CT
  • NPI 1477983179
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1033510581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HIGHLAND AVE STE B1",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102527",
            "telephone_number": "203-931-5566",
            "fax_number": "888-531-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HIGHLAND AVE STE B1",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102527",
            "telephone_number": "203-931-5566",
            "fax_number": "888-531-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "7499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DECAMPOS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabbetha T Rivers, BCBA
• Sherine Robinson
• Katharine Ann Rocci
• Kathleen Ann Roche, LCSW
• Amanda Rodriguez
• Victoria Rodriguez, LCSW
• Caitlin Rose, LPC
• Lynn Rose, SPEECH THERAPIST
• Herbert Jay Rosenfield, ACSW, LCSW, BCD
• Linda Jane Rosenfield, LCSW

• Professional Counselor in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.