Active NPI
Kathleen Maria Rhodes, PH.D., L.F.M.T.
- Marriage & Family Therapist
- Plantation, FL
National Provider Identifier
1104153311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT 1788
- Practice address
- 4121 NW 5TH St
Suite #206
Plantation, FL 33317-2120 - Phone
- (954) 797-5222
- Fax
- (954) 797-7677
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1884 | FL | |
| Marriage & Family Therapist | 106H00000X | MT 1788 | FL | Primary |
Addresses
Primary practice location
4121 NW 5TH St
Suite #206
Plantation, FL 33317-2120
Mailing address
4121 NW 5TH St
Suite #206
Plantation, FL 33317-2120
Phone (954) 797-5222
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT 1788 | FL | MD | Marriage & Family Therapist |
| 1884 | FL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Street Counseling Center IV, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Plantation, FL
- NPI 1215277199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1104153311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 NW 5TH ST",
"address_2": "SUITE #206",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172120",
"telephone_number": "954-797-5222",
"fax_number": "954-797-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 NW 5TH ST",
"address_2": "SUITE #206",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172120",
"telephone_number": "954-797-5222",
"fax_number": "954-797-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KATHLEEN",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D., L.F.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "1884",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT 1788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.