Active NPI
Yolanda S Rodriguez
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1932228525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW21310
- Practice address
- 375 Woodside Ave
BLDG W-3
San Francisco, CA 94127-1221 - Phone
- (415) 753-4446
- Fax
- (415) 753-7759
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW21310 | CA | Primary |
Addresses
Primary practice location
375 Woodside Ave
BLDG W-3
San Francisco, CA 94127-1221
Mailing address
1702L Meridian Avenue
Suite 178
San Jose, CA 95125
Phone (408) 625-9596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1959 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | |
| 1959 | Other | SFGH INTERNAL USE ONLY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW21310 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1932228525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702L MERIDIAN AVENUE",
"address_2": "SUITE 178",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95125",
"telephone_number": "408-625-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WOODSIDE AVE",
"address_2": "BLDG W-3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271221",
"telephone_number": "415-753-4446",
"fax_number": "415-753-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "YOLANDA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW21310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "1959",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "1959",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.