Guillermo Rodriguez, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11022 Issued in TX

Practice address

1747 Citadel PLZ Ste 205
San Antonio, TX 78209-1017

Phone

(210) 788-2762

NPI assigned

Sep 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: guillermo.rodriguez@3705.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Innovations Counseling Services, PLLC

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1487055992

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295833770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 CITADEL PLZ STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091017",
            "telephone_number": "210-788-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 CITADEL PLZ STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091017",
            "telephone_number": "210-788-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW Loop 410",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782132263",
            "country_code": "US",
            "telephone_number": "210-788-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "097782",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11758628",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7739933",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys I Rodriguez, M.D.
• Gladys Liliana Rodriguez
• Gloria Cassandra Rodriguez
• Gloria Hernandez Rodriguez, FNP
• Guadalupe Mendoza Rodriguez
• Guillermo Baldomero Rodriguez, RN
• Hector Rodriguez
• Hector Rodriguez
• Hevony Rodriguez, DDS
• Hiram Karin Rodriguez, PHARM.D.

• Addiction (Substance Use Disorder) Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.