Active NPI
Gustavo Adolfo Rodriguez, LPC
- Professional Counselor
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18936
- Practice address
- 3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540 - Phone
- (877) 800-5722
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18936 | TX | Primary |
Addresses
Primary practice location
3950 N a W Grimes Blvd Ste N104
Round Rock, TX 78665-3540
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Other practice location 1
56 East Ave
Austin, TX 78701-4323
Phone (512) 454-3571
Other practice location 2
6111 Dickson Dr
Austin, TX 78704
Phone (512) 270-8215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174562201 | Medicaid | TX |
Other names 1
- Mr. Gus A. Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| 18936 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Family Care Center LLC, | Current | Accepting new patients | |
| Lone Star Circle of Care | Professional | Current | Accepting new patients |
| Family Care Center, LLC | Professional | Current | Accepting new patients |
| Progressive Behavioral Health, PLLC | Professional | Current | Accepting new patients |
| Scott & White Clinic | Current | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006
2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908
2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
2911 A W Grimes Blvd
Ste 330
Pflugerville, TX 78660
Phone (512) 649-2270
505 E Palm Valley Blvd
Ste 240
Round Rock, TX 78664
Phone (512) 310-7177
3950 N A W Grimes Blvd
Ste N104
Round Rock, TX 78665
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
Interoperability endpoints
- gustavo.rodriguez.1@29821.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1427786482
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Psychiatry Physician
- Austin, TX
- NPI 1750337259
-
- Federally Qualified Health Center (FQHC)
- Georgetown, TX
- NPI 1891746970
Professional
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Professional
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1104043371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR STE 107",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 N A W GRIMES BLVD STE N104",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653540",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [
{
"address_1": "56 East Ave",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787014323",
"country_code": "US",
"telephone_number": "512-454-3571",
"fax_number": "513-703-1390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6111 Dickson Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78704",
"country_code": "US",
"telephone_number": "512-270-8215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GUSTAVO",
"middle_name": "ADOLFO",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174562201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GUS",
"last_name": "RODRIGUEZ",
"middle_name": "A.",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.