Individual provider Active NPI

Marisol Rodriguez, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1669292389
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81853 Issued in TX
Practice address
8407 Bandera Rd.
Ste 103 - #133
San Antonio, TX 78250
Phone
(726) 215-8408
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81853 TX Primary

Addresses

Primary practice location

8407 Bandera Rd.
Ste 103 - #133
San Antonio, TX 78250

Mailing address

8407 Bandera Rd.
Ste 103 - #133
San Antonio, TX 78250
Phone (726) 215-8408

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260302002187 TX Practitioner - Mental Health Counselor 9133601925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2939 Laurel Mist CT
Kingwood, TX 77345-4943

8407 Bandera Rd
Suite 103
San Antonio, TX 78250-2571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81853TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pax Christi Counseling PLLC Professional CurrentSince Feb 1, 2026 Accepting new patients

Locations

8407 Bandera Rd
Ste 103
San Antonio, TX 78250
Phone (210) 549-8071

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1669292389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 BANDERA RD.",
            "address_2": "STE 103 - #133",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78250",
            "telephone_number": "726-215-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 BANDERA RD.",
            "address_2": "STE 103 - #133",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78250",
            "telephone_number": "726-215-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARISOL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.