Individual provider Active NPI

David Lester Rodriguez II, MA, LMHC

  • Mental Health Counselor
  • Ocean Park, WA
National Provider Identifier
1871960419
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60875635 Issued in WA
Practice address
1202 212TH LN
Ocean Park, WA 98640-3335
Phone
(360) 207-5250
NPI assigned
Aug 31, 2015
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 LH60875635 WA Primary

Addresses

Primary practice location

1202 212TH LN
Ocean Park, WA 98640-3335

Mailing address

1202 212TH LN
Ocean Park, WA 98640-3335
Phone (360) 207-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20260424000514 WA Practitioner - Mental Health Counselor 1951878206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1202 212TH LN
Ocean Park, WA 98640-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60875635WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Real Talk Counseling, PLLC Current 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, 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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1871960419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 212TH LN",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986403335",
            "telephone_number": "360-207-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 212TH LN",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986403335",
            "telephone_number": "360-207-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAVID",
        "middle_name": "LESTER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60875635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Park, WA

Sources for this page

Verify at the official NPI Registry.