Carmen Milagros Rodriguez, MS CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH15836 Issued in FL

Practice address

12811 Kenwood LN Ste 202
Fort Myers, FL 33907-5646

Phone

(954) 907-2217

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Therapy Treatment Team LLC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1053858316
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1548820905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ALABAMA RD N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366809",
            "telephone_number": "954-907-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 KENWOOD LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075646",
            "telephone_number": "954-907-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARMEN",
        "middle_name": "MILAGROS",
        "credential": "MS CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH15836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Maria Rodriguez-Rivera, B.A.
• Yasaira Rodriguez-Torres, MD
• Amanda Barbara Rodriguez, APRN
• Ana Alejandrina Rodriguez, BEHAVIOR TECHNICIAN
• Angelina Rose Rodriguez
• David Rodriguez, APRN
• Elizabeth Rodriguez
• Erisleyvys Rodriguez
• Francisco A. Rodriguez, MD
• Freddie Miguel Rodriguez, M.D.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.