NPIMap

Organization Active NPI

Sheri Rodriguez, LMSW, Acsw

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1245515576
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801067666 Issued in MI
Legal business name
SHERI RODRIGUEZ, LMSW, ACSW
Practice address
4328 Kalamazoo Ave SE
Grand Rapids, MI 49508-3609
Phone
(616) 260-3559
NPI assigned
Oct 18, 2011
Last updated
Oct 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Authorized official

Name
Sheri Rodriguez, LMSW, ACSWNPI 1770723710
Title
Owner/Therapist
Phone
(616) 260-3559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801067666 MI Primary

Addresses

Primary practice location

4328 Kalamazoo Ave SE
Grand Rapids, MI 49508-3609

Mailing address

1515 Lancashire Dr SE
Grand Rapids, MI 49508-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923003218 MI Part B Supplier - Clinic/Group Practice 8022415694 Receives reassigned benefits from 9 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319846400000",
    "number": "1245515576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LANCASHIRE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083609",
            "telephone_number": "616-260-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERI RODRIGUEZ, LMSW, ACSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-260-3559",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801067666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.