Individual provider Active NPI

Tristin Noelle Mead-Rodrigues, LPC

  • Counselor
  • Denver, CO
National Provider Identifier
1184898116
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2974 Issued in CO
Practice address
2640 W. 28TH Ave
Denver, CO 80211
Phone
(720) 280-4368
Fax
(303) 957-5953
NPI assigned
Apr 22, 2008
Last updated
Jun 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2974 CO Primary
Professional Counselor 101YP2500X 2974 CO
Nutritionist 133N00000X CO

Addresses

Primary practice location

2640 W. 28TH Ave
Denver, CO 80211

Mailing address

2640 W. 28TH Ave
Denver, CO 80211
Phone (720) 280-4368

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
2974COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1184898116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W. 28TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "720-280-4368",
            "fax_number": "303-957-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W. 28TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "720-280-4368",
            "fax_number": "303-957-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD-RODRIGUES",
        "first_name": "TRISTIN",
        "middle_name": "NOELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "2974",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2974",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.