Individual provider Active NPI

Juanita Marie Rodriguez, LADC,NCAC I,Q-SAP,

  • Addiction (Substance Use Disorder) Counselor
  • Scottsbluff, NE
National Provider Identifier
1932143955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20 Issued in NE
Practice address
1321 Broadway
Scottsbluff, NE 69361-3579
Phone
(308) 632-7411
Fax
(308) 632-7423
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20 NE Primary

Addresses

Primary practice location

1321 Broadway
Scottsbluff, NE 69361-3579

Mailing address

2201 Kingsgate Rd
Scottsbluff, NE 69361-4824
Phone (308) 635-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pathology Consultants, PC Past 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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932143955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 KINGSGATE RD",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614824",
            "telephone_number": "308-635-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 BROADWAY",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613579",
            "telephone_number": "308-632-7411",
            "fax_number": "308-632-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUANITA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LADC,NCAC I,Q-SAP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.