Individual provider Active NPI

Nicole Rodriguez

  • Marriage & Family Therapist
  • Daly City, CA
National Provider Identifier
1932846227
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
159223 Issued in CA
Practice address
199 Southgate Ave Unit 3382
Daly City, CA 94015-5303
Phone
(650) 684-7699
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 159223 CA Primary

Addresses

Primary practice location

199 Southgate Ave Unit 3382
Daly City, CA 94015-5303

Mailing address

199 Southgate Ave Unit 3382
Daly City, CA 94015-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260102003203 CA Practitioner - Marriage and Family Therapist 1153817739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Phoenix, AZ 85072

PO Box
Suite 52456
Phoenix, AZ 85072-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
159223CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arboris Marriage and Family Therapy, Professional Company Marriage & Family Therapist CurrentSince Dec 14, 2025 Accepting new patients
Mood Clinical, P. C. Single Specialty CurrentSince Oct 20, 2025 Accepting new patients
Glenn Medical Center, LLC PastSince Oct 20, 2025 Accepting new patients

Locations

199 Southgate Ave
Unit 3382
Daly City, CA 94015
Phone (650) 684-7699

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

Organizations & group practices 3

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1932846227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SOUTHGATE AVE UNIT 3382",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940155303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SOUTHGATE AVE UNIT 3382",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940155303",
            "telephone_number": "650-684-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "159223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.