Larry Godinez Rodriguez, MSW, CAADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1020 Iowa Ave
Riverside, CA 92507-2105

Phone

(950) 955-3330

Fax

(951) 955-3889

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437257656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S ARROWHEAD AVE",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161502",
            "telephone_number": "909-519-7597",
            "fax_number": "951-955-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 IOWA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072105",
            "telephone_number": "950-955-3330",
            "fax_number": "951-955-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LARRY",
        "middle_name": "GODINEZ",
        "name_prefix": "Mr.",
        "credential": "MSW, CAADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rodriguez, SUDRC #18376
• Kimberly Rodriguez
• Kristynne L. Rodriguez
• Krystal Rodriguez
• Kylee Rodriguez
• Leslie Rodriguez
• Lionel Bo Rodriguez
• Lizeth Rodriguez
• Lori Ann Kapulani Rodriguez
• Lupe Rodriguez

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.