D. Paul Rodriguez, PH.D., LPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PMH 675 Issued in FL

Practice address

2571 N Toledo Blade Blvd
North Port, FL 34289-9351

Phone

(941) 564-8734

Fax

(941) 876-3452

NPI assigned

Aug 22, 2006

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

Other identifiers 1

Other names 1

• Dr. Douglas P Rodriguez Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Central Michigan College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Estar Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • North Port, FL
  • NPI 1023317138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1417063546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6728",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342906728",
            "telephone_number": "941-564-8734",
            "fax_number": "941-876-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 N TOLEDO BLADE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899351",
            "telephone_number": "941-564-8734",
            "fax_number": "941-876-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43199 Boardwalk Loop",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339822501",
            "country_code": "US",
            "telephone_number": "941-564-8734",
            "fax_number": "941-876-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "D.",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002109",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "PMH 675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL",
            "identifier": "MH9594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "RODRIGUEZ",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriela Rocha
• Grace Roche, LMT
• Yenizeydy Rodriguez Quintana
• Brenda Liz Rodriguez-Vega
• Aimee Rodriguez
• Jailene Rodriguez
• Katherinne Janet Rodriguez
• Suzie Rodriguez, PHARMD
• Zachary Micheal Rolli
• Anabel Romero

• Professional Counselor in North Port, FL
• Providers in North Port, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.