Active NPI
Carole Jean Rodon, PH.D.
- Counseling Psychologist
- Columbia, MO
National Provider Identifier
1689786188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY01536
- Practice address
- 2501B W Ash St
Columbia, MO 65203-4609 - Phone
- (573) 442-4161
- Fax
- (573) 442-4162
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY01536 | MO | Primary |
Addresses
Primary practice location
2501B W Ash St
Columbia, MO 65203-4609
Mailing address
2501B W Ash St
Columbia, MO 65203-4609
Phone (573) 442-4161
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5096888 | Other | MO | CCN |
| 1088760 | Other | MO | FIRST HEALTH |
| 251104 | Other | MO | COMPSYCH |
| 074664 | Other | MO | VALUE OPTIONS |
| 109489 | Other | MO | BLUE CROSS BLUE SHIELD |
| 61-43032 | Other | MO | UNITED HEALTHCARE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01536 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689786188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501B W ASH ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034609",
"telephone_number": "573-442-4161",
"fax_number": "573-442-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501B W ASH ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034609",
"telephone_number": "573-442-4161",
"fax_number": "573-442-4162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODON",
"first_name": "CAROLE",
"middle_name": "JEAN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "PY01536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5096888",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1088760",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "251104",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "074664",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "109489",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "61-43032",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.