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

Q: 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.

Q: What is Luis Rodriguez's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

Phone(401) 276-4193

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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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.

SORAYA S. P. DARWOOD MD

Family Medicine