Individual provider Active NPI

Anna Rodriguez, MA, PLPC

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1811675275
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2022031195 Issued in MO
Practice address
12801 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-1829
Phone
(314) 594-7530
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2022031195 MO Primary

Addresses

Primary practice location

12801 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-1829

Mailing address

12801 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-1829
Phone (314) 594-7530

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2022031195MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Christian Counseling Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1811675275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 FLUSHING MEADOWS DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311829",
            "telephone_number": "314-594-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 FLUSHING MEADOWS DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311829",
            "telephone_number": "314-594-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MA, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2022031195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.