Individual provider Active NPI

Theresa D Rodriguez, LMFT

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1457660805
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT 1660 Issued in FL
Practice address
1810 NW 6TH St Ste C
Gainesville, FL 32609-8535
Phone
(352) 359-0264
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MT 1660 FL
Marriage & Family Therapist 106H00000X MT 1660 FL
Mental Health Counselor 101YM0800X MT 1660 FL Primary

Addresses

Primary practice location

1810 NW 6TH St Ste C
Gainesville, FL 32609-8535

Mailing address

4713 NW 25TH Dr
Gainesville, FL 32605-1263
Phone (352) 359-0264

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gainesville Health Information Exchange (HIE)

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
MT 1660FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa Rodriguez Counseling LLC Mental Health Current Accepting new patients

Locations

1810 NW 6th St
Ste C
Gainesville, FL 32609
Phone (352) 234-6317

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1457660805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 NW 25TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051263",
            "telephone_number": "352-359-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NW 6TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098535",
            "telephone_number": "352-359-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "THERESA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MT 1660",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 1660",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT 1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gainesville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1810 NW 6th St Ste C",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326098535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.