Active NPI
Jeanette Marie Rodriguez, LPC
- Professional Counselor
- McAllen, TX
National Provider Identifier
1922561885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75939
- Practice address
- 725 E Esperanza Ave Ste B
McAllen, TX 78501-1402 - Phone
- (956) 928-9028
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75939 | TX | Primary |
Addresses
Primary practice location
725 E Esperanza Ave Ste B
McAllen, TX 78501-1402
Mailing address
1607 Lookout
Edinburg, TX 78541-2330
Other practice location 1
409 W Fm 495
San Juan, TX 78589-3717
Phone (956) 787-8138
Other practice location 2
4309 N 22nd St
McAllen, TX 78504-4167
Phone (956) 928-9028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828001609 | TX | Practitioner - Mental Health Counselor | 4284173733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75939 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1922561885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 LOOKOUT",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785412330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E ESPERANZA AVE STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785011402",
"telephone_number": "956-928-9028"
}
],
"practiceLocations": [
{
"address_1": "409 W Fm 495",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "TX",
"postal_code": "785893717",
"country_code": "US",
"telephone_number": "956-787-8138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4309 N 22nd St",
"address_purpose": "LOCATION",
"city": "McAllen",
"state": "TX",
"postal_code": "785044167",
"country_code": "US",
"telephone_number": "956-928-9028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.