Shaunna Michelle Rodriguez, CCC, BCMHC

Individual provider Active NPI Pastoral Counselor · Bushnell, FL

NPI 1134038540 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1134038540
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
5551 SW 18TH Ter # 494a
Bushnell, FL 33513-4459
Phone
(352) 207-6689
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

5551 SW 18TH Ter # 494a
Bushnell, FL 33513-4459

Mailing address

5551 SW 18TH Ter # 494a
Bushnell, FL 33513-4459
Phone (352) 207-6689

Other providers in Bushnell, FL

All providers in Bushnell, FL · Pastoral Counselor in Florida

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.