Individual provider Active NPI

Sylvette Marie Rodriguez, LPC

  • Professional Counselor
  • Manati, PR
National Provider Identifier
1942784434
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4117 Issued in PR
Practice address
Carr 149 KM 7.5
Barrio Rio Arriba Saliente
Manati, PR 00674
Phone
(787) 884-5700
Fax
(787) 884-5704
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6663 PR
Professional Counselor 101YP2500X 4117 PR Primary

Addresses

Primary practice location

Carr 149 KM 7.5
Barrio Rio Arriba Saliente
Manati, PR 00674

Mailing address

Calle 15 Buzon 105
Barrio Carmelita
Vega Baja, PR 00693
Phone (787) 566-2855

Other practice location 1

calle 15 buzon 105
barrio carmelita
vega baja, PR 00693
Phone (787) 566-2855

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
4117PRMDProfessional Counselor
6663PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1942784434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 15 BUZON 105",
            "address_2": "BARRIO CARMELITA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-566-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 7.5",
            "address_2": "BARRIO RIO ARRIBA SALIENTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-5700",
            "fax_number": "787-884-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle 15 buzon 105",
            "address_2": "barrio carmelita",
            "address_purpose": "LOCATION",
            "city": "vega baja",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-566-2855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SYLVETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "6663",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.