Individual provider Active NPI

Gustavo Adolfo Rodriguez, LPC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1104043371
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18936 Issued in TX
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

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
174562201MedicaidTX

Other names 1

  • Mr. Gus A. Rodriguez Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004156 TX Practitioner - Mental Health Counselor 2163955154 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18936TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Current Accepting new patients
Thrive Counseling LLC CurrentSince Oct 7, 2024 Accepting new patients
Family Care Center LLC, CurrentSince Mar 13, 2025 Accepting new patients
Lone Star Circle of Care Professional Current Accepting new patients
Family Care Center, LLC Professional CurrentSince Mar 13, 2025 Accepting new patients
Progressive Behavioral Health, PLLC Professional CurrentSince Jun 30, 2025 Accepting new patients
Scott & White Clinic CurrentSince Aug 8, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.