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ROBERTO RODRIGUEZ MA NPI 1588020812


NPI Information

NPI: 1588020812
Provider Name: ROBERTO RODRIGUEZ, MA
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1604 INDUSTRY DR STE 105
BASTROP, TX
ZIP 78602
Phone: (737) 251-2707
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Roberto Rodriguez, MA is a marriage family therapist in Bastrop, TX. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Roberto Rodriguez, MA NPI is 1588020812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1604 INDUSTRY DR STE 105
BASTROP, TX
ZIP 78602-622
Phone: (737) 251-2707

The NPI 1588020812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 12/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)302348MINNESOTANo
2106H00000XMarriage & Family Therapist3074MINNESOTANo
3106H00000XMarriage & Family Therapist204734TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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