Individual provider Active NPI

Rodrigo Correa, LPSY,LMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1891862348
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003580 Issued in NY
Practice address
1546 Madison Ave Apt 4B
New York, NY 10029-4553
Phone
(347) 681-8628
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X TPMC4070 FL
Mental Health Counselor 101YM0800X 003580 NY Primary

Addresses

Primary practice location

1546 Madison Ave Apt 4B
New York, NY 10029-4553

Mailing address

1546 Madison Ave Apt 4B
New York, NY 10029-4553
Phone (347) 681-8628

Other identifiers 1

IdentifierTypeStateIssuer
07782007MedicaidNY

Other names 1

  • Rodrigo Correa Walker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231222000450 NY Practitioner - Mental Health Counselor 9234589839 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC4070FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aristotle Psychological and Biofeedback Services PLLC. Mental Health PastSince Jun 1, 2013 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1891862348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 MADISON AVE APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294553",
            "telephone_number": "347-681-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 MADISON AVE APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294553",
            "telephone_number": "347-681-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "RODRIGO",
        "credential": "LPSY,LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC4070",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07782007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODRIGO",
            "last_name": "CORREA WALKER",
            "credential": "LPSY,LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.