Active NPI
Kathy Rodriguez, LPC
- Counselor
- Greenwood Village, CO
National Provider Identifier
1538826102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- .0017753
- Practice address
- 5950 S Willow Dr Ste 308
Greenwood Village, CO 80111-5177 - Phone
- (303) 927-6631
- NPI assigned
- Nov 18, 2021
- Last updated
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | .0017753 | CO | Primary |
Addresses
Primary practice location
5950 S Willow Dr Ste 308
Greenwood Village, CO 80111-5177
Mailing address
646 S Fulton Ave
Fort Lupton, CO 80621-1261
Phone (973) 356-9520
Other practice location 1
646 S Fulton Ave
Fort Lupton, CO 80621-1261
Phone (720) 869-8936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16057439 | Other | CO | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| .0017753 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northpoint Colorado LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1477155901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1538826102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 S FULTON AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211261",
"telephone_number": "973-356-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 S WILLOW DR STE 308",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801115177",
"telephone_number": "303-927-6631"
}
],
"practiceLocations": [
{
"address_1": "646 S Fulton Ave",
"address_purpose": "LOCATION",
"city": "Fort Lupton",
"state": "CO",
"postal_code": "806211261",
"country_code": "US",
"telephone_number": "720-869-8936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KATHY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": ".0017753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16057439",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
- Rocky Mountain Planned Parenthood Inc (Planned Parenthood of the Rocky Mountains, Inc)
- Rocky Mountain Planned Parenthood, Inc. (Planned Parenthood of the Rocky Mountains)
- Emily Rodarte
- Sara E Rode
- Chabely Rodriguez, AA
- Maximilian Roemer, DO
- Denis Patrick Rogenmoser
- Dana Rogers, LAC
- Kristen Rogers, PA-C
- Mary Claire Rohne, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.