Elio Rafael Rodriguez, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1411 N Dean Rd
Orlando, FL 32825-5518

Phone

(407) 895-0801

Fax

(407) 895-0803

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1255065421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 S SEMORAN BLVD APT 345",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222673",
            "telephone_number": "929-282-5190",
            "fax_number": "407-895-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255518",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIO",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://outlook.live.com/",
            "affiliation": "N",
            "endpointDescription": "Email utilized for client communications",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client communications regarding appts, intakes",
            "address_1": "1411 N Dean Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328255518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ehr.icanotes.com/",
            "affiliation": "N",
            "endpointDescription": "Client Medical Records, Insurance information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Medical Records",
            "address_1": "1411 N Dean Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328255518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donavon Rodriguez
• Earlyne L Rodriguez, CRNA
• Edgardo Rodriguez, MD
• Edna L Rodriguez, MSW
• Elinor Aracely Rodriguez, MD
• Elizabeth Rodriguez, M.S. REGISTERED MHC
• Enid Rodriguez, BA, TAC II
• Enid Magali Rodriguez, DNP ARNP FNP-C
• Estifani Rodriguez
• Fiorella Marie Rodriguez, RBT

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.