Active NPI
Maribel Rodriguez, LSW
- Mental Health Counselor
- Palatine, IL
National Provider Identifier
1417723990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150112642
- Practice address
- 721 S Quentin Rd Ste 103
Palatine, IL 60067-6778 - Phone
- (847) 485-3063
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150112642 | IL | Primary |
Addresses
Primary practice location
721 S Quentin Rd Ste 103
Palatine, IL 60067-6778
Mailing address
721 S Quentin Rd Ste 103
Palatine, IL 60067-6778
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150112642 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Youth & Family Services | Current | Accepting new patients | |
| Bridge Youth & Family Services | Past | Accepting new patients |
Locations
721 S Quentin Rd
Ste 103
Palatine, IL 60067
Phone (847) 359-7490
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Palatine, IL
- NPI 1992458616
-
- Community/Behavioral Health Agency
- Palatine, IL
- NPI 1427128750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1417723990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S QUENTIN RD STE 103",
"city": "PALATINE",
"state": "IL",
"postal_code": "600676778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S QUENTIN RD STE 103",
"city": "PALATINE",
"state": "IL",
"postal_code": "600676778",
"telephone_number": "847-485-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIBEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150112642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
- Rise Strong Counseling PLLC
- Robert E. Bradley DDS & Robert J. Angerame DDS LTD
- Karen Lynett Roberts, NP-C
- Melisa Roberts, MSW, LCSW
- Maria Arcadia Rocha, MSW, LCSW
- Michael Roehr, LCPC
- Megan Laura Rohn, MSW, LSW
- Colleen Muir Rohrbacher, RN, IBCLC
- Catherine M Rojas-Dahl, O.D.
- Laura M Rosanova-Philipp, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.