Marisol M Rodriguez, PSYCHOTHERAPIST, CFI

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NLC.0103222 Issued in CO

Practice address

954 North St
Suite 206
Boulder, CO 80304-3419

Phone

(720) 257-1639

Fax

(720) 420-6565

NPI assigned

Apr 25, 2013

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1558727883
  Medicare reassignment
• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Wheat Ridge, CO
  • NPI 1184961492
  NPD
• Metro Community Provider Network, Inc.

  dba STRIDE CHC - Peoria Pharmacy

  • Community/Retail Pharmacy
  • Aurora, CO
  • NPI 1255591780
  NPD

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1902240450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 NELSON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215117",
            "telephone_number": "720-257-1639",
            "fax_number": "720-420-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 NORTH ST",
            "address_2": "SUITE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043419",
            "telephone_number": "720-257-1639",
            "fax_number": "720-420-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARISOL",
        "middle_name": "M",
        "credential": "PSYCHOTHERAPIST, CFI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC.0103222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Urgent Care, LLC
• Rocky Mountain Veterinary Cardiology
• Clara Patricia Rodriguez Cisneros
• Bryan Rodriguez
• Ivonne Rodriguez
• Michele Kaitlin Rodriguez, MSOM, LAC, LMT
• Yessenia Rodriguez, MA
• Anna T Roe, PA-C
• Travis Roelfs
• Nathan Roesner, D.O.

• Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.