Active NPI
Susan M. Rodriguez, M.S., LMHC
- Mental Health Counselor
- Doral, FL
National Provider Identifier
1033644000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9114
- Practice address
- 8100 NW 53Rd St Apt 163
Doral, FL 33166-4796 - Phone
- (786) 464-9059
- Fax
- (786) 464-9059
- NPI assigned
- Apr 26, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9114 | FL | Primary |
| Mental Health Counselor | 101YM0800X | E2734 | OH | |
| Mental Health Counselor | 101YM0800X | 5186 | NM | |
| Social Worker | 104100000X | S16573 | OH |
Addresses
Primary practice location
8100 NW 53Rd St Apt 163
Doral, FL 33166-4796
Mailing address
8100 NW 53Rd St Apt 163
Doral, FL 33166-4796
Phone (786) 464-9059
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9114 | FL | MD | Mental Health Counselor |
| 5186 | NM | MD | Mental Health Counselor |
| E2734 | OH | MD | Mental Health Counselor |
| S16573 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1033644000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 NW 53RD ST APT 163",
"city": "DORAL",
"state": "FL",
"postal_code": "331664796",
"telephone_number": "786-464-9059",
"fax_number": "786-464-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 NW 53RD ST APT 163",
"city": "DORAL",
"state": "FL",
"postal_code": "331664796",
"telephone_number": "786-464-9059",
"fax_number": "786-464-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "M.S., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9114",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E2734",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "5186",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S16573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.