Individual provider Active NPI

Vivian Rodriguez, TLLP

  • Psychologist
  • Lansing, MI
National Provider Identifier
1336440783
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301014484 Issued in MI
Practice address
3960 Patient Care Way Ste 104
Lansing, MI 48911-4276
Phone
(517) 887-9801
Fax
(517) 887-9826
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301014484 MI Primary

Addresses

Primary practice location

3960 Patient Care Way Ste 104
Lansing, MI 48911-4276

Mailing address

3960 Patient Care Way Ste 104
Lansing, MI 48911-4276
Phone (517) 887-9801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519002322 MI Practitioner - Mental Health Counselor 0143748996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014484MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Perspectives Counseling, LLC CurrentSince Mar 2, 2025 Accepting new patients

Locations

4295 Okemos Rd
Ste 135
Okemos, MI 48864
Phone (517) 306-4635

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1336440783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114276",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE WAY STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114276",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VIVIAN",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.