Gusmary Rodriguez, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7651 Gate Pkwy Apt 1809
Jacksonville, FL 32256-4818

Phone

(516) 375-9965

Fax

(904) 615-6919

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Proactive Life Skills LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1902331382
  NPD (past)

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1891526117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 WELLS RD STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736766",
            "telephone_number": "904-523-1287",
            "fax_number": "904-615-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 GATE PKWY APT 1809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564818",
            "telephone_number": "516-375-9965",
            "fax_number": "904-615-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GUSMARY",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-367520",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Stacey Rodriguez, MS HUMAN SERVICES
• Daniel Rodriguez, R.PH
• Elizabeth Rose Rodriguez, CCC-SLP
• Erika V Rodriguez, COTA
• Francisco J Rodriguez, MD
• Irissel Rodriguez
• Jacquelyn L Rodriguez, PTA
• Joanivette Rodriguez, B.S. PSYCH
• Joselyn Marie Rodriguez, APRN
• Lizett Rodriguez

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 14, 2026; 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.