Individual provider Active NPI

Marjorie Rodriguez, LMHC

  • Mental Health Counselor
  • Dyer, IN
National Provider Identifier
1891453916
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004704A Issued in IN
Practice address
10406 Towle St
Dyer, IN 46311-0049
Phone
(708) 953-6467
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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 39004704A IN Primary

Addresses

Primary practice location

10406 Towle St
Dyer, IN 46311-0049

Mailing address

10406 Towle St
Dyer, IN 46311-0049
Phone (708) 953-6467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39004704AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Clarity Clinic CurrentSince Oct 1, 2024 Accepting new patients

Locations

800 E 86th Ave
#B
Merrillville, IN 46410
Phone (219) 595-0043

9250 Columbia Ave
Ste 2E
Munster, IN 46321
Phone (219) 595-0043

Interoperability endpoints

  • Direct secure messaging: ccin.marjorie.rodriguez@138327.advancedmd-direct.com

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1891453916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 TOWLE ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110049",
            "telephone_number": "708-953-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 TOWLE ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110049",
            "telephone_number": "708-953-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARJORIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004704A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.