Active NPI
Leslie Rodriguez, MS, LMHC
- Mental Health Counselor
- West Nyack, NY
National Provider Identifier
1669708905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P73361
- Practice address
- 450 W Nyack Rd
Suite 2
West Nyack, NY 10994-1754 - Phone
- (845) 354-2121
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P73361 | NY | Primary |
Addresses
Primary practice location
450 W Nyack Rd
Suite 2
West Nyack, NY 10994-1754
Mailing address
24 Collaberg Rd
Stony Point, NY 10980-3409
Phone (845) 947-0162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P73361 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Rockland County, Inc. | Past | Accepting new patients |
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.
-
dba Rockland Jewish Family Service
- Community/Behavioral Health Agency
- West Nyack, NY
- NPI 1023211208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1669708905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 COLLABERG RD",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109803409",
"telephone_number": "845-947-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W NYACK RD",
"address_2": "SUITE 2",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941754",
"telephone_number": "845-354-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "MS, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P73361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.