Individual provider Active NPI

Sara Michelle Rodriguez, LPCC

  • Professional Counselor
  • Carlsbad, NM
National Provider Identifier
1205488715
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0222801 Issued in NM
Practice address
1900 Westridge Rd
Carlsbad, NM 88220-3550
Phone
(575) 725-5552
Fax
(575) 725-5552
NPI assigned
Jul 15, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0222801 NM
Professional Counselor 101YP2500X CCMH0222801 NM Primary

Addresses

Primary practice location

1900 Westridge Rd
Carlsbad, NM 88220-3550

Mailing address

1900 Westridge Rd
Carlsbad, NM 88220-3550
Phone (575) 725-5552

Other practice location 1

110 E Mescalero Rd
Roswell, NM 88201-6542
Phone (575) 755-2272 ext. 1486

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
CCMH0222801NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1205488715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WESTRIDGE RD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203550",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WESTRIDGE RD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203550",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Mescalero Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882016542",
            "country_code": "US",
            "telephone_number": "575-755-2272 x1486",
            "fax_number": "575-622-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SARA",
        "middle_name": "MICHELLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0222801",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0222801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.