Mildred Michelle Rodriguez, MS, LPC, LMFT-A, CSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4855 Issued in LA

Practice address

815 Willow Ave
Sulphur, LA 70663-3420

Phone

(337) 313-3108

Fax

(337) 313-3347

NPI assigned

Jan 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Miss Mildred Michelle Willis Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Possibilities Counseling Services LLC

  • Professional Counselor
  • Sulphur, LA
  • NPI 1912566936
  Medicare reassignment NPD Authorized official
• Possibilities Counseling Services Foundation

  • Mental Health Counselor
  • Sulphur, LA
  • NPI 1851933576
  NPD Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1790960201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WILLOW AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633420",
            "telephone_number": "337-313-3108",
            "fax_number": "337-313-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WILLOW AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633420",
            "telephone_number": "337-313-3108",
            "fax_number": "337-313-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MILDRED",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, LMFT-A, CSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64352",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201608",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILDRED",
            "last_name": "WILLIS",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "MS, LPC, LMFT, CSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Richard
• Albert Warren Richert,Jr, M.D.
• Roadrunner Ability Access, LLC
• Alycia L Rodgers, M.D.
• Isaac Rodriguez
• Roger Glen Grimball Jr. D.D.S. LLC
• Russell K Benevage
• SBS Iom, LLC
• Emily Callens Scuderi, FNP
• Morgan Michele Seaford, APRN

• Professional Counselor in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.