MR. GUSTAVO ADOLFO RODRIGUEZ LPC
NPI 1104043371
Counselor - Professional in Round Rock, TX
About Mr. Gustavo Adolfo Rodriguez Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GUSTAVO ADOLFO RODRIGUEZ LPC (NPI 1104043371) is an individual professional provider in Round Rock, Texas, licensed in Texas (18936) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
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
Mr. Gustavo Adolfo Rodriguez Lpc 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.
Medicare Billing Reassignments
4Medicare enrollment records show Gustavo Rodriguez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Round Rock, TX 78664
- Reassigned Medicare billing, Texas enrollment
- 211 clinicians in this Medicare group
Pflugerville, TX 78660
- Reassigned Medicare billing, Texas enrollment
- 2,795 clinicians in this Medicare group
Austin, TX 78751
- Reassigned Medicare billing, Texas enrollment
- 253 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, Texas enrollment
- 262 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROUND ROCK, TX 78665
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 Gustavo Rodriguez's NPI number?
The NPI number for Gustavo Rodriguez is 1104043371. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Mr. Gus A. Rodriguez Lpc.
Where is Gustavo Rodriguez located?
Gustavo Rodriguez practices at 3950 N A W Grimes Blvd Ste N104, Round Rock, TX 78665. The listed phone number is (877) 800-5722.
What is Gustavo Rodriguez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gustavo Rodriguez enrolled in Medicare?
Yes. Gustavo 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 organizations bill Medicare for Gustavo Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Rodriguez reassigns Medicare benefits to 4 organizations: Family Care Center LLC, (Round Rock, TX), Scott & White Clinic (Pflugerville, TX), Austin Travis County Mental Health And Mental Retardation Center (Austin, TX) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Gustavo Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gustavo Rodriguez accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 2 other insurers list Gustavo 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 Gustavo Rodriguez was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mr. Gustavo Adolfo Rodriguez, LPC · NPI 1104043371
Professional provider in Round Rock, Texas. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1104043371 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 18936 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 N A W GRIMES BLVD STE N104, Round Rock, TX 78665-3540
- **Phone:** (877) 800-5722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Care Center LLC, (NPI 1427786482, Round Rock, TX); Scott & White Clinic (NPI 1679691729, Pflugerville, TX); Austin Travis County Mental Health And Mental Retardation Center (NPI 1831393990, Austin, TX); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** October 3, 2025
- **Other identifiers:** Medicaid 174562201 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1104043371) · Data from the CMS NPPES public registry.