Roberto Rodriguez, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204734 Issued in TX

Practice address

1604 Industry Dr Ste 105
Bastrop, TX 78602-4622

Phone

(737) 251-2707

NPI assigned

Dec 31, 2015

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restorative Mental Health PLLCGroup PAC ID 6901258284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Restorative Mental Health PLLC

  dba Family Recovery Essentials

  • Mental Health Counselor
  • Bastrop, TX
  • NPI 1992429740
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1588020812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CASSEL WAY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025727",
            "telephone_number": "651-402-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRY DR STE 105",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024622",
            "telephone_number": "737-251-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERTO",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302348",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3074",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockdale Blackhawk, LLC (Little River Healthcare Southwest Orthopedic Group)
• Rockdale Blackhawk, LLC (Little River Healthcare Southwest Orthopedic Group)
• Dustin Daniel Roden-Johnson, DDS, MS
• April Elizabeth Rodgers, CPNP-PC
• Mariel Daniela Rodriguez
• Romney Lassen Dental (Spring St Dental)
• Brian Romney, DMD
• Rooted Birth and Wellness, PLLC
• Rosa E.Thompson, LCSW, a Professional LLC
• Diana Maritza Rosales, PNP-PC

• Marriage & Family Therapist in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.