Individual provider Active NPI

Kathleen Maria Rhodes, PH.D., L.F.M.T.

  • Marriage & Family Therapist
  • Plantation, FL
National Provider Identifier
1104153311
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 1788 Issued in FL
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

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT 1788FLMDMarriage & Family Therapist
1884FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Street Counseling Center IV, Inc PastSince Aug 14, 1997 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.

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.

Verify at the official NPI Registry.