Active NPI
Lenaida Rodriguez, MS, LMFT, LCDC
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1679395230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204078
- Practice address
- 14802 Jones Maltsberger Rd Ste 1101
San Antonio, TX 78247-3571 - Phone
- (210) 490-4419
- NPI assigned
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16101 | TX | |
| Marriage & Family Therapist | 106H00000X | 204078 | TX | Primary |
Addresses
Primary practice location
14802 Jones Maltsberger Rd Ste 1101
San Antonio, TX 78247-3571
Mailing address
9614 Krier VW
Converse, TX 78109-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 9, 2024 through Jul 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16101 | TX | MD | Chiropractor |
| 204078 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vine Wellness Group, LLC | Current | Accepting new patients |
Locations
14802 Jones Maltsberger Rd
Ste 1101
San Antonio, TX 78247
Phone (210) 315-3684
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.
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1316570971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1679395230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9614 KRIER VW",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14802 JONES MALTSBERGER RD STE 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473571",
"telephone_number": "210-490-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LENAIDA",
"credential": "MS, LMFT, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16101",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.