Individual provider Active NPI

Deirdra Marie Rodriguez

  • Counselor
  • Rochester Hills, MI
National Provider Identifier
1558901199
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
145 Rochdale Dr S
Rochester Hills, MI 48309-2275
Phone
(248) 218-9009
NPI assigned
Jan 12, 2020
Last updated
Jan 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

145 Rochdale Dr S
Rochester Hills, MI 48309-2275

Mailing address

145 Rochdale Dr S
Rochester Hills, MI 48309-2275

Other names 1

  • Deirdra Marie Bezemek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250412000332 MI Practitioner - Mental Health Counselor 7214451194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tree of Life Counseling Services LLCGroup PAC ID 4082156856, 24 clinicians

Practice addresses (Care Compare)

1460 Walton Blvd
Suite 60
Rochester Hills, MI 48309-1729
Phone (248) 608-4514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling Services LLC CurrentSince Mar 29, 2025 Accepting new patients
Michael S Salter DPM PC CurrentSince Mar 29, 2025 Accepting new patients

Locations

1460 Walton Blvd
Ste 60
Rochester Hills, MI 48309
Phone (248) 651-0653

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": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1558901199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-218-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DEIRDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRA",
            "last_name": "BEZEMEK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.