Individual provider Active NPI

Beatriz Raquel Rodriguez

  • Marriage & Family Therapist
  • Hawthorne, CA
National Provider Identifier
1104546795
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
5155 W Rosecrans Ave Ste 100
Hawthorne, CA 90250-6652
Phone
(424) 255-1227
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 14084 CA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

5155 W Rosecrans Ave Ste 100
Hawthorne, CA 90250-6652

Mailing address

3600 Wilshire Blvd Ste 1500
Los Angeles, CA 90010-2619
Phone (213) 389-1500

Other practice location 1

710 N Anaheim Blvd
Anaheim, CA 92805-2651
Phone (714) 776-7490

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope House Corporation CurrentSince Sep 1, 2022 Accepting new patients

Locations

710 N Anaheim Blvd
Anaheim, CA 92805
Phone (714) 776-6090

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1104546795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 WILSHIRE BLVD STE 1500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102619",
            "telephone_number": "213-389-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 W ROSECRANS AVE STE 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506652",
            "telephone_number": "424-255-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Anaheim Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928052651",
            "country_code": "US",
            "telephone_number": "714-776-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BEATRIZ",
        "middle_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14084",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.