Active NPI
Roberta L Rhodes, MA, MDIV
- Professional Counselor
- Austin, TX
National Provider Identifier
1396252607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73369
- Practice address
- 1004 Mo Pac Cir Ste 100
Austin, TX 78746-6805 - Phone
- (512) 270-0474
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73369 | TX | Primary |
Addresses
Primary practice location
1004 Mo Pac Cir Ste 100
Austin, TX 78746-6805
Mailing address
7300 Journeyville Dr
Austin, TX 78735-1762
Phone (512) 899-1267
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73369 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1396252607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 JOURNEYVILLE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787351762",
"telephone_number": "512-899-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 MO PAC CIR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466805",
"telephone_number": "512-270-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "ROBERTA",
"middle_name": "L",
"credential": "MA, MDIV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.