Patrick Gordon Rodning, MA LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

00010 Issued in MN

Practice address

1992 Starlight Dr
Waconia, MN 55387-8607

Phone

(612) 636-0136

NPI assigned

May 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Waconia Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Waconia, MN
  • NPI 1013282946
  NPD (past) Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1386879799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 STARLIGHT DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553878607",
            "telephone_number": "612-636-0136",
            "fax_number": "952-442-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 STARLIGHT DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553878607",
            "telephone_number": "612-636-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNING",
        "first_name": "PATRICK",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MA LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00010",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "00010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Rittmaster, MS, RDN, LD
• Sarah Ritz
• Natalie M Riutta, PT
• Madelin Roberts, OTR/L
• Sandra J Roberts, M.D.
• Ivory Rodriguez
• Nicole Lynn Roeder, MD
• Natalie Kaye Rogotzke, PA-C
• Abbey Marie Rolf, M.A., OTR/L
• Jill Rolf

• Counselor in Waconia, MN
• Providers in Waconia, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.