Individual provider Active NPI

Guadalupe Declet Rodriguez

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1992423693
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011710 Issued in VA
Practice address
1903 Humankind Way
Lynchburg, VA 24503-6313
Phone
(434) 846-1124
Fax
(434) 846-1052
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 0701011710 VA Primary

Addresses

Primary practice location

1903 Humankind Way
Lynchburg, VA 24503-6313

Mailing address

1903 Humankind Way
Lynchburg, VA 24503-6313
Phone (434) 846-1124

Other identifiers 1

IdentifierTypeStateIssuer
A60426548OtherVADRIVER'S LICENSE

Other names 1

  • Lupita Rodriguez Other name

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
0701011710VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1992423693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 HUMANKIND WAY",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245036313",
            "telephone_number": "434-846-1124",
            "fax_number": "434-846-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 HUMANKIND WAY",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245036313",
            "telephone_number": "434-846-1124",
            "fax_number": "434-846-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLET RODRIGUEZ",
        "first_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "A60426548",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUPITA",
            "last_name": "RODRIGUEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.