LUIS DAVID RODRIGUEZ MA, LMHC
NPI 1023595055
Counselor - Mental Health in Providence, RI

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 276-4193 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2022, Jul 23, 2018 (2 updates tracked since 2018).

About Luis David Rodriguez Ma, Lmhc NPPES

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

LUIS DAVID RODRIGUEZ MA, LMHC (NPI 1023595055) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01325) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023595055
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLUIS DAVID RODRIGUEZCredential: MA, LMHC
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address355 Prairie AveProvidence, RI 02905-1928 · (401) 276-4193 · Fax (401) 383-5737
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 23, 2018
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1023595055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · MHC01325
Also ListedCounselorTaxonomy 101Y00000X
355 PRAIRIE AVE, Providence, RI 02905

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis David Rodriguez Ma, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254776305
PECOS Enrollment IDI20240228001488
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luis Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
530 N MAIN ST
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905

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 Luis Rodriguez's NPI number?

The NPI number for Luis Rodriguez is 1023595055. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Luis Rodriguez located?

Luis Rodriguez practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 276-4193.

What is Luis Rodriguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Luis Rodriguez enrolled in Medicare?

Yes. Luis Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Luis Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Rodriguez reassigns Medicare benefits to The Providence Center Inc (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Rodriguez accept?

Health plans from Harvard Pilgrim Health Care list Luis Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luis Rodriguez was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.