Individual provider Active NPI

Laly Jannette Rodriguez

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1457652786
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6428 Issued in SC
Practice address
2805 Millwood Ave
Thriveworks Counseling and Life Coaching
Columbia, SC 29205-1298
Phone
(803) 445-6310
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6428 SC Primary
Mental Health Counselor 101YM0800X 10595 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 507780 NC

Addresses

Primary practice location

2805 Millwood Ave
Thriveworks Counseling and Life Coaching
Columbia, SC 29205-1298

Mailing address

421 Alderston Way
Columbia, SC 29229-9531
Phone (803) 445-6310

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

LicenseStateTypeSpecialty
507780NCMDAddiction (Substance Use Disorder) Counselor
6428SCMDMental Health Counselor
10595NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1457652786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ALDERSTON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299531",
            "telephone_number": "803-445-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 MILLWOOD AVE",
            "address_2": "THRIVEWORKS COUNSELING AND LIFE COACHING",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051298",
            "telephone_number": "803-445-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LALY",
        "middle_name": "JANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6428",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10595",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "507780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.