Organization Active NPI

Deborah Rodriguez LPC LLC

  • Professional Counselor
  • Cranberry Township, PA
National Provider Identifier
1336736685
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DEBORAH RODRIGUEZ LPC LLC
Practice address
2009 Mackenzie Way Ste 100
Cranberry Township, PA 16066-5338
Phone
(904) 307-8843
Fax
(412) 810-8386
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Deborah Rodriguez, MED, LPC, NCCNPI 1811130842
Title
Owner/Licensedprofessionalcounselor
Phone
(904) 307-8843

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2009 Mackenzie Way Ste 100
Cranberry Township, PA 16066-5338

Mailing address

4122 Duckhorn Dr
Moon Township, PA 15108-9474
Phone (904) 307-8843

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/users/sign_in Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1336736685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 DUCKHORN DR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151089474",
            "telephone_number": "904-307-8843",
            "fax_number": "412-810-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MACKENZIE WAY STE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665338",
            "telephone_number": "904-307-8843",
            "fax_number": "412-810-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH RODRIGUEZ LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/LICENSEDPROFESSIONALCOUNSELOR",
        "authorized_official_telephone_number": "904-307-8843",
        "authorized_official_credential": "MED, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Simple Practice Health Record System",
            "address_1": "2009 MacKenzie Way Ste 100",
            "city": "Cranberry Township",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160665338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.