Bridgette Stacey Rodriguez, MS HUMAN SERVICES

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6266 Dupont Station CT E
Jacksonville, FL 32217-2567

Phone

(904) 745-0067

Fax

(904) 745-1030

NPI assigned

Dec 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• One Healing Pathway LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1194617720
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1659967610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 DUPONT STATION CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172567",
            "telephone_number": "904-745-0067",
            "fax_number": "904-745-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 DUPONT STATION CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172567",
            "telephone_number": "904-745-0067",
            "fax_number": "904-745-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BRIDGETTE",
        "middle_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "MS HUMAN SERVICES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "endpointDescription": "Individual and Family Therapist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6266 DuPont Station Ct E",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322172567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Rodriguez
• Amy Rodriguez
• Ana L. Rodriguez
• Annemarie Rodriguez
• Audrey A Rodriguez, RN
• Daniel Rodriguez, R.PH
• Elizabeth Rose Rodriguez, CCC-SLP
• Erika V Rodriguez, COTA
• Francisco J Rodriguez, MD
• Gusmary Rodriguez, MHC

• Professional Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.