Jan Rodriguez, IMH41870

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH26345 Issued in FL

Practice address

12360 SW 132ND CT Ste 113
Miami, FL 33186-6461

Phone

(305) 588-4143

NPI assigned

Dec 30, 2020

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

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

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• L.I.F.E Center for Healing & Growth Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1740793868

  Mental Health

  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1417544966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 VILLA POINT DR APT 12212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102197",
            "telephone_number": "786-402-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 SW 132ND CT STE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866461",
            "telephone_number": "305-588-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8611 Villa Point Dr Apt 12212",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328102197",
            "country_code": "US",
            "telephone_number": "786-402-7106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1298 Minnesota Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327897104",
            "country_code": "US",
            "telephone_number": "407-205-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAN",
        "credential": "IMH41870",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20303",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rodriguez, RDN, LDN
• Jacqueline Rave Rodriguez
• Jade Rodriguez
• Jadira Rodriguez
• Jailene Rodriguez
• Janeisy Rodriguez
• Janet Rodriguez
• Jani Rodriguez, PHD.
• Janney Rodriguez
• Jannie Rodriguez, ARNP

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.