Individual provider Active NPI

Carlos I Rodriguez Jr., MS, LAPC

  • Mental Health Counselor
  • Reading, PA
National Provider Identifier
1104662238
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC001068 Issued in PA
Practice address
640 Walnut St Ste 301
Reading, PA 19601-3504
Phone
(610) 743-5190
NPI assigned
Jul 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X APC001068 PA Primary
Mental Health Counselor 101YM0800X ACP001068 PA

Addresses

Primary practice location

640 Walnut St Ste 301
Reading, PA 19601-3504

Mailing address

PO Box 21
Temple, PA 19560-0021
Phone (484) 509-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251021004058 PA Practitioner - Mental Health Counselor 8820586944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

839 N 3Rd St
Reading, PA 19601-2505

PO Box
Suite 21
Temple, PA 19560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ACP001068PAMDMental Health Counselor
APC001068PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizonz LLC Single Specialty CurrentSince Sep 25, 2025 Accepting new patients
Horizons, LLC Current Accepting new patients

Locations

640 Walnut St
Ste 301
Reading, PA 19601
Phone (610) 208-8827

Organizations & group practices 2

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1104662238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "195600021",
            "telephone_number": "484-509-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WALNUT ST STE 301",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013504",
            "telephone_number": "610-743-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "I",
        "name_suffix": "Jr.",
        "credential": "MS, LAPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC001068",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "ACP001068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.