Active NPI
Guadalupe D Rodgers, MSW
- Mental Health Counselor
- Crawfordville, FL
National Provider Identifier
1205137114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 101YM0800X
- Practice address
- 103 Mayfair Drive
Crawfordville, FL 32327 - Phone
- (850) 926-3232
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 101YM0800X | FL | Primary |
Addresses
Primary practice location
103 Mayfair Drive
Crawfordville, FL 32327
Mailing address
103 Mayfair Drive
Crawfordville, FL 32346-0845
Phone (850) 566-5216
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101YM0800X | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1205137114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MAYFAIR DRIVE",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323460845",
"telephone_number": "850-566-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAYFAIR DRIVE",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "32327",
"telephone_number": "850-926-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "GUADALUPE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.