Carolina Rodriguez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T0192101 Issued in NM

Practice address

5305 McNutt Rd
Santa Teresa, NM 88008-9685

Phone

(575) 882-5100

Fax

(575) 882-1151

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amanecer Community Counseling Center

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1033663984
  NPD (past)

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1356857692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880212671",
            "telephone_number": "575-882-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089685",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CAROLINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T0192101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35650338",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam V Rivas, LPCC, LPC
• Diane Rivera
• Emilio T. Rivera, MD
• Marisol Rivera
• Roberta L. Fennig DO PC
• Justin Ramon Rodriguez
• Lynette Rodriguez
• Jayd Elise Rogers
• Gabriela Romero
• Cynthia Rosales

• Mental Health Counselor in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.