Individual provider Active NPI

Shawn Mishell Rodrigues, LPC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1386896751
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13098 Issued in AZ
Practice address
2885 N Price Rd
Chandler, AZ 85224-1612
Phone
(480) 777-7679
Fax
(480) 240-1325
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13098 AZ Primary

Addresses

Primary practice location

2885 N Price Rd
Chandler, AZ 85224-1612

Mailing address

2885 N Price Rd
Chandler, AZ 85224-1612
Phone (602) 750-2215

Other practice location 1

927 E Watson Dr
Tempe, AZ 85283-3061
Phone (602) 750-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13098AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart of the Matter, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1386896751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 N PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241612",
            "telephone_number": "602-750-2215",
            "fax_number": "480-240-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 N PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241612",
            "telephone_number": "480-777-7679",
            "fax_number": "480-240-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 E Watson Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833061",
            "country_code": "US",
            "telephone_number": "602-750-2215",
            "fax_number": "480-777-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "SHAWN",
        "middle_name": "MISHELL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "13098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.