Active NPI
Raziela Rodriguez
- Mental Health Counselor
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW17307
- Practice address
- 5400 S University Dr Ste 118
Davie, FL 33328-5309 - Phone
- (954) 378-5381
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW17307 | FL | Primary |
| Clinical Social Worker | 1041C0700X | 17307 | FL |
Addresses
Primary practice location
5400 S University Dr Ste 118
Davie, FL 33328-5309
Mailing address
1111 E Sunrise Blvd Unit 50
Fort Lauderdale, FL 33304-2847
Phone (786) 301-6287
Other practice location 1
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17307 | FL | MD | Mental Health Counselor |
| 17307 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Health Partners, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Aldad Medical PC | Current | Accepting new patients | |
| Aldad Medical PC | Clinical | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Balanced Wellbeing LLC | Clinical | Current | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151
450 S Orange Ave
Fl 3
Orlando, FL 32801
Phone (407) 212-7113
5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1600 E 8th Ave
Ste A200
Tampa, FL 33605
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1821033903
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Psychiatry Physician
- Boston, MA
- NPI 1588310650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1114512506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E SUNRISE BLVD UNIT 50",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042847",
"telephone_number": "786-301-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 118",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285309",
"telephone_number": "954-378-5381"
}
],
"practiceLocations": [
{
"address_1": "725 N 12th Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "FL",
"postal_code": "342668752",
"country_code": "US",
"telephone_number": "863-494-1242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAZIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "SW17307",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "17307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.