Individual provider Active NPI

Jose Rodriguez

  • Mental Health Counselor
  • Riverside, CA
National Provider Identifier
1710547195
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
123374 Issued in CA
Practice address
9890 County Farm Rd Ste 3
Riverside, CA 92503-3678
Phone
(951) 509-8320
NPI assigned
Jun 18, 2019
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 123374 CA Primary

Addresses

Primary practice location

9890 County Farm Rd Ste 3
Riverside, CA 92503-3678

Mailing address

7630 Gramercy PL
Riverside, CA 92503-2514
Phone (951) 990-2401

Other practice location 1

9310 Sierra Ave
Fontana, CA 92335-5711
Phone (866) 205-3595

Other practice location 2

1425 W Foothill Blvd
Upland, CA 91786-8007
Phone (877) 527-7227

Other practice location 3

27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468
Phone (949) 420-5954

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Aug 17, 2025 Accepting new patients

Locations

9890 County Farm Rd
Ste 3
Riverside, CA 92503
Phone (951) 509-2499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1710547195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 GRAMERCY PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925032514",
            "telephone_number": "951-990-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033678",
            "telephone_number": "951-509-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9310 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923355711",
            "country_code": "US",
            "telephone_number": "866-205-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 W Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917868007",
            "country_code": "US",
            "telephone_number": "877-527-7227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27261 Las Ramblas Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916468",
            "country_code": "US",
            "telephone_number": "949-420-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.