MR. GUSTAVO ALBERT RODRIGUEZ LISAC
NPI 1073670253
Counselor - Addiction (Substance Use Disorder) in Yuma, AZ

NPI Status: Active since January 03, 2007

Contact Information

3802 W 16TH ST
YUMA, AZ
ZIP 85364
Phone: (928) 376-0026
Fax: (928) 782-2298

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Counselor
Addiction (Substance Use Disorder)
Accepts Insurance

About GUSTAVO RODRIGUEZ

This page provides the complete NPI Profile along with additional information for Gustavo Rodriguez, a provider established in Yuma, Arizona with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1073670253 assigned on January 2007. The practitioner's primary taxonomy code is 101YA0400X with license number LISAC-1257 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1073670253
Provider Name: MR. GUSTAVO ALBERT RODRIGUEZ LISAC
Gender: Male
Entity Type: Individual
Location Address: 3802 W 16TH ST YUMA, AZ 85364
Location Phone: (928) 376-0026
Location Fax: (928) 782-2298
Mailing Address: 3802 W 16TH ST YUMA, AZ 85364
Mailing Phone: (928) 376-0026
Mailing Fax: (928) 782-2298
Is Sole Proprietor?: No
Enumeration Date: 01-03-2007
Last Update Date: 07-08-2007
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A Substance Abuse or Addiction Counselor like Gustavo Rodriguez advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Addiction (Substance Use Disorder)
Taxonomy Code: 101YA0400X
Type: Behavioral Health & Social Service Providers
License No.: LISAC-1257
License State: AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield of Arizona

Blue AdvanceHealth Bronze - Neighborhood Network - HMO
Blue AdvanceHealth Gold - Neighborhood Network - HMO
Blue AdvanceHealth Silver - Neighborhood Network - HMO
Blue EverydayHealth Gold - Neighborhood Network - HMO
Blue EverydayHealth Silver - Neighborhood Network - HMO
Blue Portfolio HSA Bronze - Neighborhood Network - HMO
Blue Portfolio HSA Gold - Statewide PPO Network - PPO
Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
Blue StandardHealth Bronze - Neighborhood Network - HMO
Blue StandardHealth Gold - Neighborhood Network - HMO
Blue StandardHealth Silver - Neighborhood Network - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
913922	MEDICARE ID-TYPE UNSPECIFIED (04)	AZ	AHCCCS PROVIDER ID

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	7	3	6	7	0	2	5	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	14	3	12	7	0	2	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 7 + 0 + 2 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3									3

The NPI number 1073670253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 9 providers are registered at the same or nearby location.

MS. STEPHANIE KAYE CRAWFORD MS, NCC, LPC

Counselor

(Professional)