Individual provider Active NPI

Crystal A Rodriguez, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1962286856
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22667 Issued in FL
Practice address
5841 Corporate Way Ste 200
West Palm Beach, FL 33407-2039
Phone
(561) 684-1991
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22667 FL Primary

Addresses

Primary practice location

5841 Corporate Way Ste 200
West Palm Beach, FL 33407-2039

Mailing address

5841 Corporate Way Ste 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

Other practice location 1

9085 Hagen Ranch Rd
Boynton Beach, FL 33472-7399
Phone (561) 684-1991

Other practice location 2

9810 Alt A1A Ste 402
Palm Beach Gardens, FL 33410-4932
Phone (561) 684-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240718003245 FL Practitioner - Mental Health Counselor 9335685015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Alpert Jewish Family & Children Services, Inc Mental Health Past Accepting new patients
Psywell, LLC Mental Health PastSince May 1, 2024 Accepting new patients

Locations

9085 Hagen Ranch Rd
Boynton Beach, FL 33472
Phone (561) 684-1991

9810 Alt A1A
Ste 402
Palm Beach Gardens, FL 33410
Phone (561) 684-1991

5841 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 684-1991

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1962286856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 CORPORATE WAY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072039",
            "telephone_number": "561-684-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9085 Hagen Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334727399",
            "country_code": "US",
            "telephone_number": "561-684-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9810 Alt A1A Ste 402",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104932",
            "country_code": "US",
            "telephone_number": "561-684-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.