Individual provider Active NPI

Carmen Rodrigo, LPAT

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1174715528
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2696 Issued in NM
Practice address
5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone
(505) 836-7330
Fax
(505) 836-7424
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2696 NM Primary

Addresses

Primary practice location

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249

Mailing address

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone (505) 836-7330

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2696NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familyworks, Inc Past Accepting new patients
Youth & Family Centered Services of NM, Inc Dba Desert Hills Past Accepting new patients

Organizations & group practices 2

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1174715528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "CARMEN",
        "credential": "LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.