Active NPI
Cassandra Rodriquez
- Mental Health Counselor
- Rancho Cucamonga, CA
National Provider Identifier
1730746371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 98354
- Practice address
- 9570 Center Ave Ste 110
Rancho Cucamonga, CA 91730-5842 - Phone
- (909) 980-2789
- NPI assigned
- May 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 98354 | CA | Primary |
Addresses
Primary practice location
9570 Center Ave Ste 110
Rancho Cucamonga, CA 91730-5842
Mailing address
9570 Center Ave Ste 110
Rancho Cucamonga, CA 91730-5842
Phone (909) 980-2789
Other practice location 1
3125 Myers St
Riverside, CA 92503
Phone (951) 358-4840
Other practice location 2
790 Via Lata Ste 300
Colton, CA 92324-3978
Phone (909) 433-0445
Other practice location 3
3125 Myers St
Riverside, CA 92503
Phone (951) 358-4840
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98354 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1730746371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 CENTER AVE STE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305842",
"telephone_number": "909-980-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 CENTER AVE STE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305842",
"telephone_number": "909-980-2789"
}
],
"practiceLocations": [
{
"address_1": "3125 Myers St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92503",
"country_code": "US",
"telephone_number": "951-358-4840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 Via Lata Ste 300",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923243978",
"country_code": "US",
"telephone_number": "909-433-0445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3125 Myers St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "92503",
"country_code": "US",
"telephone_number": "951-358-4840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIQUEZ",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "98354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.