Susan Rodriguez, LPC, PMH-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008074 Issued in VA

Practice address

11825 Rock Landing Dr
Newport News, VA 23606-4236

Phone

(757) 873-1736

NPI assigned

Dec 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rock Landing Psychological Group PLC

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1528159183
  NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1164994471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 ROCK LANDING DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064236",
            "telephone_number": "757-873-1736",
            "fax_number": "757-873-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 ROCK LANDING DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064236",
            "telephone_number": "757-873-1736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602706",
            "country_code": "US",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SUSAN",
        "credential": "LPC, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2022-04-04",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quintonia Rodgers
• Daniel Gregory Rodricks, MD
• Adrienne Rodrigues
• Miguel A Rodriguez Almonte, CRNA
• Chanel Rodriguez, MS, CF-SLP
• Chelsea Roe, FNP-C
• Sheryl G Roemer, RDM
• Howard Michael Roesen, D.P.M.
• Brittany Rogers
• David Rogers Jr., PSY.D.

• Professional Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.