Sally Duerr-Rodriguez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19339 Issued in FL

Practice address

9406 NE 9TH Ave
Miami Shores, FL 33138-2923

Phone

(305) 205-2321

NPI assigned

Jun 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pentimento Group LLC

  • Mental Health Counselor
  • Miami Shores, FL
  • NPI 1184595662
  NPD

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1871163410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 NE 9TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382923",
            "telephone_number": "305-205-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 NE 9TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382923",
            "telephone_number": "305-205-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERR-RODRIGUEZ",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Dison, D.D.S.
• Yatanell Dominique, FNP
• Julina Tillus Dorval, ARNP
• Dr Jareds Miami Shores PA
• Dr. Joel E. Vaccarezza DDS PA
• Maureen Patricia Duffy, PH.D.
• Ethan Patrick Dunn, DDS
• Scott Dunton
• Irene Duran
• Rafnie Duvert

• Mental Health Counselor in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.