Individual provider Active NPI

Jeannette Rodriguez, MS, LPC

  • Professional Counselor
  • Richmond, TX
National Provider Identifier
1497418727
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83755 Issued in TX
Practice address
9115 FM 723 Rd Ste 550
Richmond, TX 77406-9238
Phone
(832) 417-6647
Fax
(832) 415-0502
NPI assigned
Oct 13, 2021
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83755 TX Primary

Addresses

Primary practice location

9115 FM 723 Rd Ste 550
Richmond, TX 77406-9238

Mailing address

9115 FM 723 Rd Ste 550
Richmond, TX 77406-9238
Phone (832) 417-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001752 TX Practitioner - Mental Health Counselor 0042656241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
83755TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texana Center CurrentSince Jan 1, 2024 Accepting new patients
Nocd Florida Behavioral Health P.a. Past Accepting new patients

Locations

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1497418727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD STE 550",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774069238",
            "telephone_number": "832-417-6647",
            "fax_number": "832-415-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 FM 723 RD STE 550",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774069238",
            "telephone_number": "832-417-6647",
            "fax_number": "832-415-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JEANNETTE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.