Angelique Herminia Rodriguez

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NC61283337 Issued in WA

Practice address

11410 NE 122ND Way Ste 100
Kirkland, WA 98034-6927

Phone

(425) 650-4005

NPI assigned

Jun 24, 2025

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

• Angelique Herminia Small Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1043107758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 NE 122ND WAY STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346927",
            "telephone_number": "425-650-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 NE 122ND WAY STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346927",
            "telephone_number": "425-650-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGELIQUE",
        "middle_name": "HERMINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "NC61283337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "SMALL",
            "middle_name": "HERMINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isaiah Robyn
• Judy Rochlin, MSW, LICSW
• Taj Mahalia Rock, PHYSICIAN ASSISTANT
• Dayna Rockett, PTA/L
• Andres Rodriguez-Sanchez Jr.
• Chrystal Juliana Rodriguez
• Fatima Michelle Rodriguez
• Patricia Jinwei Rodriguez, M.D.
• Raphael N. Rodriguez, MD
• Thalia Rodriguez

• Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.