Suhail Darie Rodriguez, MS, LPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003267 Issued in CT

Practice address

357 Whitney Avenue
G-05 Rear
New Haven, CT 06511

Phone

(203) 779-6811

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1710271101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLONY ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183324",
            "telephone_number": "203-935-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WHITNEY AVENUE",
            "address_2": "G-05 REAR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-779-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SUHAIL",
        "middle_name": "DARIE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000815",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008077718",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jose Rodriguez, APRN
• Misael Rodriguez, PA
• Myriel Rodriguez
• Richard Robert Rodriguez, DDS
• Rumi KC Rodriguez
• Nayeli Rodulfo-Zayas, M.D.
• Rozalyn Levine Rodwin, M.D.
• Davis Rigby Roe, PA-C
• Teresa Roehrich, LADC
• Elizabeth Mae Roessler, PA

• Mental Health Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.