Individual provider Active NPI

Yesenia Rodriguez

  • Mental Health Counselor
  • Sunrise, FL
National Provider Identifier
1104392018
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH27043 Issued in FL
Practice address
2050 NW 83Rd Ave
Sunrise, FL 33322-3836
Phone
(786) 548-9784
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-82262 FL
Mental Health Counselor 101YM0800X MH27043 FL Primary

Addresses

Primary practice location

2050 NW 83Rd Ave
Sunrise, FL 33322-3836

Mailing address

2050 NW 83Rd Ave
Sunrise, FL 33322-3836
Phone (786) 548-9784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260319001559 FL Practitioner - Mental Health Counselor 5294219069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marchant Halsor LLC Ellie Mental HealthGroup PAC ID 3476928185, 6 clinicians

Practice addresses (Care Compare)

2853 Executive Park Dr
Suite 102
Weston, FL 33331-3656
Phone (954) 800-2686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27043FLMDMental Health Counselor
RBT-19-82262FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Marchant Halsor LLC Ellie Mental Health Mental Health CurrentSince Feb 23, 2026 Accepting new patients

Locations

2853 Executive Park Dr
Ste 102
Weston, FL 33331
Phone (954) 659-1208

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1104392018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NW 83RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223836",
            "telephone_number": "786-548-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NW 83RD AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223836",
            "telephone_number": "786-548-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-82262",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.