Individual provider Active NPI

Andrea Alexandra Rodriguez, LMFT

  • Marriage & Family Therapist
  • Greeley, CO
National Provider Identifier
1891560454
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002719 Issued in CO
Practice address
8203 W 20TH St
Greeley, CO 80634-4696
Phone
(970) 673-8103
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0002719 CO Primary

Addresses

Primary practice location

8203 W 20TH St
Greeley, CO 80634-4696

Mailing address

8203 W 20TH St
Greeley, CO 80634-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260604001498 CO Practitioner - Marriage and Family Therapist 9032680616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4115 Boardwalk Dr
Unit 100
Fort Collins, CO 80525-5945

5632 Bexley Dr
Windsor, CO 80550-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT.0002719COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Counseling & Consulting CurrentSince Nov 26, 2023 Accepting new patients
Specialty Counseling & Consulting Marriage & Family Therapist CurrentSince Nov 26, 2023 Accepting new patients
Neurofeedback Clinic of Northern Colorado LLC Marriage & Family Therapist Past Accepting new patients

Locations

3257 W 20th St
Ste 200
Greeley, CO 80634
Phone (970) 481-1131

Organizations & group practices 4

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1891560454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344696",
            "telephone_number": "970-673-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANDREA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.