JAN RODRIGUEZ IMH41870
NPI 1417544966
Counselor - Mental Health in Miami, FL

Active since December 30, 2020PECOS Enrolled
12360 SW 132ND CT STE 113, MIAMI, FL 33186(305) 588-4143 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jan Rodriguez Imh41870 NPPES

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

JAN RODRIGUEZ IMH41870 (NPI 1417544966) is an individual mental health provider in Miami, Florida, licensed in Florida (MH26345) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417544966
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAN RODRIGUEZCredential: IMH41870
Location Address12360 SW 132ND CT STE 113Miami, FL 33186-6461
Mailing Address8611 Villa Point Dr Apt 12212Orlando, FL 32810-2197 · (786) 402-7106
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 30, 2020
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1417544966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in FL · MH26345 Licensed in FL · IMH20303
12360 SW 132ND CT STE 113, Miami, FL 33186

Secondary Practice Locations 2

Location 18611 Villa Point Dr Apt 12212Orlando, FL 32810-2197 · Phone (786) 402-7106
Location 21298 Minnesota Ave Ste CWinter Park, FL 32789-7104 · Phone (407) 205-9317

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jan Rodriguez Imh41870 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072018233
PECOS Enrollment IDI20250926002921
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.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Community/Behavioral Health
12360 SW 132ND CT STE 113
MIAMI, FL 33186

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 Jan Rodriguez's NPI number?

The NPI number for Jan Rodriguez is 1417544966. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Jan Rodriguez located?

Jan Rodriguez practices at 12360 SW 132nd Ct Ste 113, Miami, FL 33186. The listed phone number is (305) 588-4143.

What is Jan Rodriguez's specialty?

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

Is Jan Rodriguez enrolled in Medicare?

Yes. Jan Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Jan Rodriguez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jan 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 Jan Rodriguez was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.