Individual provider Active NPI

Melina Rodriguez, LMHC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1124536222
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15251 Issued in FL
Practice address
3400 N 29TH Avenue
Hollywood, FL 33020
Phone
(954) 276-3400
Fax
(954) 965-6444
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15251 FL Primary

Addresses

Primary practice location

3400 N 29TH Avenue
Hollywood, FL 33020

Mailing address

3400 N 29TH Avenue
Hollywood, FL 33020
Phone (954) 276-3400

Other practice location 1

3400 N 29th Avenue
Hollywood, FL 33020
Phone (954) 276-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240122001384 FL Practitioner - Mental Health Counselor 6901258359 Reassigns benefits to 2 organizations
I20250613002826 MA Practitioner - Mental Health Counselor 6901258359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15251FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 5, 2024 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2024 Accepting new patients
South Broward Hospital District Current Accepting new patients

Locations

5595 S University Dr
Davie, FL 33328
Phone (954) 276-3400

3400 N 29th Ave
Hollywood, FL 33020
Phone (954) 276-3400

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

Organizations & group practices 4

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1124536222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N 29TH AVENUE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-276-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N 29TH AVENUE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-276-3400",
            "fax_number": "954-965-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 N 29th Avenue",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33020",
            "country_code": "US",
            "telephone_number": "954-276-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELINA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.