Kennedy Quinn Rodarte, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61431083 Issued in WA

Practice address

105 M St NE
Auburn, WA 98002-4430

Phone

(509) 903-5633

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1932953312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024430",
            "telephone_number": "509-903-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 M ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024430",
            "telephone_number": "509-903-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODARTE",
        "first_name": "KENNEDY",
        "middle_name": "QUINN",
        "name_prefix": "Miss",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61431083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana S Roberts
• Serena Alberta Robertson, BA
• Lila Amanda Robinson, SLP
• Rosalynda Robles
• Emily Rock, DPT
• Rodney W Snyder, MD PLLC
• Melanie Abad Rodrigo, LPN
• Angela Mae Rodriguez, LMP
• Carmen D. Rodriguez, LICSW
• Eric Rodriguez

• Marriage & Family Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.