Alexandra Eleanor Jodaitis-Rodriguez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78487 Issued in TX

Practice address

3256 Southern Dr Ste 461
Garland, TX 75043-1533

Phone

(214) 385-5445

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Room for ChangeGroup PAC ID 2365894284, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Room for Change

  • Counselor
  • Garland, TX
  • NPI 1225535644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1881171817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 SOUTHERN DR STE 461",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431533",
            "telephone_number": "214-385-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 SOUTHERN DR STE 461",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431533",
            "telephone_number": "214-385-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODAITIS-RODRIGUEZ",
        "first_name": "ALEXANDRA",
        "middle_name": "ELEANOR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Jimenez, D.P.M.
• JJ Home Health Services Inc
• JJ Primary Care Services Inc
• Jmac Healthcare LLC
• Michelle Eun Young Jo, NP
• Rachel Frances Johannes, M.S.,CCC-SLP
• John Etchu Dynasty Homecare Services
• John V. Lam DDS, PLLC
• Mini John
• Renji John

• Professional Counselor in Garland, TX
• Providers in Garland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.