Individual provider Active NPI

Anne Christine Rodic, LMHC

  • Mental Health Counselor
  • Pittsford, NY
National Provider Identifier
1356741987
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007571-1 Issued in NY
Practice address
20 Office Pkwy Ste 104
Pittsford, NY 14534-1718
Phone
(585) 690-5436
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007571-1 NY Primary

Addresses

Primary practice location

20 Office Pkwy Ste 104
Pittsford, NY 14534-1718

Mailing address

20 Office Pkwy Ste 104
Pittsford, NY 14534-1718
Phone (585) 690-5436

Other names 1

  • Anne Christine Rodic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007571NYMDAcupuncturist
007571-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1356741987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OFFICE PKWY STE 104",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341718",
            "telephone_number": "585-690-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OFFICE PKWY STE 104",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341718",
            "telephone_number": "585-690-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIC",
        "first_name": "ANNE",
        "middle_name": "CHRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007571-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "RODIC",
            "middle_name": "CHRISTINE",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.