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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: October 25, 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
Phone(305) 588-4143
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Grow Healthcare Group PA
16 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12

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

MARICRUZ SARDINAS LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
KAYLE OKEKE LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
KIMBERLY J SOUTIEN LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
REBEKAH MENA LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
GWENEVERE SPALDING
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
IVONNE MACHADO LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
REBECA BUSH LMHC
Counselor
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143
REINA ENCIO LMHC
Counselor (Mental Health)
12360 SW 132ND CT STE 113
MIAMI, FL 33186
Miami-Dade County (305) 588-4143

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.

Which organization bills Medicare for Jan Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Rodriguez reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Jan Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jan Rodriguez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.