Samantha Rodriguez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60698862 Issued in WA

Practice address

3285 Ferguson Street SW
Tumwater, WA 98503

Phone

(360) 943-1907

NPI assigned

Jul 11, 2019

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1447802244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14339",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985114339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 FERGUSON STREET SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-943-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60698862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60698862",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slrodriguez@telecarcorp.com",
            "affiliation": "N",
            "address_1": "3285 Ferguson Street SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Kenneth Robertson
• Awhina Manea Robinson, LMP
• Wendy Robinson, LICSW
• Nancy Cecilia Rocks
• Anthony Rodriguez, D.C.
• Ronald Wilcox, DC Inc. (Family Chiropractic)
• Rosemary Counseling and Wellness, PLLC (Rosemary Counseling)
• Sherina Nasha Ross
• Rachel Rottger, DC
• Sepideh Rouhani, PHARMD.

• Mental Health Counselor in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.