Teresa Jeannette Rodriguez, CMHC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4917376-6004 Issued in UT

Practice address

352 S Denver St Ste 350
Salt Lake City, UT 84111-3059

Phone

(801) 521-4227

NPI assigned

Nov 12, 2009

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.

• Goat Path Counseling

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1033592530
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1922335892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113000",
            "telephone_number": "801-521-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113059",
            "telephone_number": "801-521-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TERESA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "CMHC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "4917376-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melva Tapia Rodriguez
• Nereyda Alexis Rodriguez
• Olivia Rodriguez, MD
• Rosalva Rodriguez
• Stevie Alexis Rodriguez
• Joshua D. Roesener, MD
• Joshua Roesser
• Sadie Ann Roestenburg, PHARMD
• Pierre Roger-Dalbert
• Adriana Rogers

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.