Individual provider Active NPI

Maribel Rodriguez Laguna, L.P.C.-S

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1972801108
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63515 Issued in TX
Practice address
5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059
Phone
(972) 953-9895
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63515 TX Primary

Addresses

Primary practice location

5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059

Mailing address

5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059
Phone (972) 953-9895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 16, 2024 through Jun 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63515TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Sacrum Counseling and Consulting, PLLC Professional CurrentSince Apr 21, 2024 Accepting new patients

Locations

5220 Spring Valley Rd
Ste 610
Dallas, TX 75254
Phone (972) 901-2104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1972801108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SPRING VALLEY RD STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543059",
            "telephone_number": "972-953-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SPRING VALLEY RD STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543059",
            "telephone_number": "972-953-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUNA",
        "first_name": "MARIBEL",
        "middle_name": "RODRIGUEZ",
        "credential": "L.P.C.-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.