Active NPI
Tera Marie Mae Rodriguez, IPHM
- Case Manager/Care Coordinator
- Kiel, WI
National Provider Identifier
1063356152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 620 12TH St Lot 9C
Kiel, WI 53042-4830 - Phone
- (920) 571-7269
- NPI assigned
- Apr 17, 2026
- Last updated
- May 2, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | WI | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Peer Specialist | 175T00000X | WI | ||
| Health & Wellness Coach | 171400000X | NU | ||
| Behavior Technician | 106S00000X | RBT-24-377640 | WI |
Addresses
Primary practice location
620 12TH St Lot 9C
Kiel, WI 53042-4830
Mailing address
620 12TH St Lot 9C
Kiel, WI 53042-4830
Phone (920) 571-7269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100413504 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-377640 | WI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1063356152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 12TH ST LOT 9C",
"city": "KIEL",
"state": "WI",
"postal_code": "530424830",
"telephone_number": "920-571-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 12TH ST LOT 9C",
"city": "KIEL",
"state": "WI",
"postal_code": "530424830",
"telephone_number": "920-571-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "TERA MARIE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "IPHM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-17",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WI",
"license": "RBT-24-377640",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100413504",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kiel, WI
- Darla Otto, CSW, MSM, CTACC
- Pathways to a Better Life, LLC (Pathways To A Better Life - Kiel Campus 1)
- David James Pieper, D.D.S.
- Pamela Quezaire, MSE CSAC ICS
- Mary Reszczynski, APNP
- Cynthia Schick, P.T.
- Schleicher Chiropractic, SC
- Michael D Schleicher, D.C.
- Deborah Lee Schmidt, RN
- Schubert Family Dental
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.