Karen Jocilyn Rodriguez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4465 Issued in FL

Practice address

11000 Victoria Park LN Apt 11210
Davenport, FL 33896-3222

Phone

(914) 336-1200

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Karen Jocilyn Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Neumind Wellness Group LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
  • NPI 1396101697
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1124590567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "LOUGHMAN",
            "state": "FL",
            "postal_code": "338580311",
            "telephone_number": "914-336-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 VICTORIA PARK LN APT 11210",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338963222",
            "telephone_number": "914-336-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAREN",
        "middle_name": "JOCILYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-05-18",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GOMEZ",
            "middle_name": "JOCILYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis Marie Rodriguez Contreras, APRN, FNP
• Aida D Rodriguez, RBT
• Alexander Rodriguez, M.D.
• Breeann Michelle Rodriguez, LCSW
• Jorge David Rodriguez, MD
• Liliana Rodriguez
• Maria Ann Rodriguez, PTA
• Rosmery Rodriguez, RMHCI
• Stephanie Irma Rodriguez
• Wendy Rodriguez, OTR/L

• Marriage & Family Therapist in Davenport, FL
• Providers in Davenport, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.

Verify at the official NPI Registry.