Active NPI
Candice Marie Rodriguez, LPC
- Professional Counselor
- Glenwood Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0013713
- Practice address
- 1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206 - Phone
- (970) 945-2840
- Fax
- (970) 945-2893
- NPI assigned
- Jun 7, 2016
- Last updated
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011800 | IL | |
| Professional Counselor | 101YP2500X | 0013713 | CO | Primary |
Addresses
Primary practice location
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Mailing address
6250 W North Ave
Chicago, IL 60639-3861
Phone (773) 622-6218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1003 Alabaster CV
Sanford, FL 32771-3607
440 N Barranca Ave
Covina, CA 91723-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013713 | CO | MD | Professional Counselor |
| 178.011800 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Clinic CT PLLC | Current | Accepting new patients |
Locations
440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030
870 S Colorado Blvd
#1067
Denver, CO 80246
Phone (248) 704-5837
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": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1972952315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606393861",
"telephone_number": "773-622-6218",
"fax_number": "773-622-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE STE 101",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014206",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CANDICE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011800",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0013713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
- Rocky Mountain Planned Parenthood, Inc. (Planned Parenthood of the Rocky Mountains)
- Rocky Mountain Planned Parenthood, Inc.
- Rocky Mountain Plastic Surgery P.C.
- Rocky MTN Anesthesia Services PC
- Rocky MTN Urology Associates
- Roger J. Brown, DMD, PC
- Whitney Roginski
- Megan R Rohman, D.D.S.
- Bridget Roseman
- Carol Ann Rosinski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.