MRS. JACQUELINE RODRIGUEZ LADC,CAC,APP
NPI 1003288168
Counselor - Addiction (Substance Use Disorder) in Bridgeport, CT

Active since October 28, 2015
243 SUCCESS AVE, BRIDGEPORT, CT 06610(203) 864-8429 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jacqueline Rodriguez Ladc,cac,app NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE RODRIGUEZ LADC,CAC,APP (NPI 1003288168) is an individual addiction (substance use disorder) provider in Bridgeport, Connecticut, licensed in Connecticut (001104) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1003288168
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. JACQUELINE RODRIGUEZCredential: LADC,CAC,APP
Location Address243 SUCCESS AVEBridgeport, CT 06610-2429
Mailing Address243 Success AveBridgeport, CT 06610-2429 · (203) 864-8429
Sole ProprietorYes
Enumeration DateOctober 28, 2015
Last NPPES UpdateOctober 31, 2016
NPI 1003288168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 001104
243 SUCCESS AVE, Bridgeport, CT 06610

Other Identifiers 16

Other060669107CT · Healthyct Wellmore Grp/facility
OtherPENDINGCT · Caqh
OtherPENDINGCT · Mhn Managed Health Network
Other060669107CT · United Behavioral Health- Optum Wellmore Grp/facility
Other060669107CT · Ubh- Connecticare Wellmore Grp/facility
OtherICADC-5511CT · Icadc Internationally Certified Addiction Counselor Ccb
Other060669107CT · Ubh-united Healthcare Wellmore Grp/facility
OtherPENDINGCT · Aetna Behavioral Health
Other060669107CT · Ubh-oxford Health Liberty/freedom Wellmore Grp/facility
Medicare UPINNOT ELIGIBLECT
OtherCAC-5511CT · Cac- Certified Addiction Counselor Ccb
OtherPENDINGCT · Mhn Tricare North
OtherAPP-5511CT · App Associate Prevention Professional Ccb
OtherPENDINGCT · Cigna Behavioral Health
MedicaidPENDINGCT
Other060669107CT · Anthem Bcbs Of Ct Wellmore Grp/facility

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Rodriguez's NPI number?

The NPI number for Jacqueline Rodriguez is 1003288168. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Jacqueline Rodriguez located?

Jacqueline Rodriguez practices at 243 Success Ave, Bridgeport, CT 06610. The listed phone number is (203) 864-8429.

What is Jacqueline Rodriguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Rodriguez was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.