Rodrigo Manjarres, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3012 Grand Ave
Waukegan, IL 60085-2321

Phone

(847) 546-0080

Fax

(847) 546-0083

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Manjarres and Associates, Inc

  • Mental Health Counselor
  • Gurnee, IL
  • NPI 1710952221

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1376563916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313393",
            "telephone_number": "847-360-8860",
            "fax_number": "847-360-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-546-0080",
            "fax_number": "847-546-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARRES",
        "first_name": "RODRIGO",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "5176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8008517498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca W Manaloto Deguzman, RN
• Bruce Mandel
• Bindu Mangat, APRN
• Rachelle Manieri, LMT
• Bianca Maniscalco
• Amber Nicole Manley, MA
• Agatona Villegas Marasigan, RN
• Karina Itzel Marban
• Eugene Carroll Marceron Jr., LCSW
• Mari Benitez, DPM, SC

• Mental Health Counselor in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.