STEPHANIE BURGOS RODRIGUEZ
NPI 1487186102
Counselor - Addiction (Substance Use Disorder) in Boston, MA

Active since March 31, 2017PECOS Enrolled
780 ALBANY ST, BOSTON, MA 02118(857) 654-1000(857) 654-1100 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Mar 31, 2017 (2 updates tracked since 2017).

About Stephanie Burgos Rodriguez NPPES

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

STEPHANIE BURGOS RODRIGUEZ (NPI 1487186102) is an individual addiction (substance use disorder) provider in Boston, Massachusetts and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487186102
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE BURGOS RODRIGUEZ
Location Address780 ALBANY STBoston, MA 02118-2755
Mailing Address780 Albany StBoston, MA 02118-2755 · (857) 654-1000 · Fax (857) 654-1100
Fax(857) 654-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1487186102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
780 ALBANY ST, Boston, MA 02118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3971073800
PECOS Enrollment IDI20260601002493
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 20

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

Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Nurse Practitioner
780 ALBANY ST
BOSTON, MA 02118
Dentist (General Practice)
780 ALBANY ST
BOSTON, MA 02118
Clinic/Center (Federally Qualified Health Center (FQHC))
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118

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 Stephanie Burgos Rodriguez's NPI number?

The NPI number for Stephanie Burgos Rodriguez is 1487186102. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Stephanie Burgos Rodriguez located?

Stephanie Burgos Rodriguez practices at 780 Albany St, Boston, MA 02118. The listed phone number is (857) 654-1000.

What is Stephanie Burgos Rodriguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Stephanie Burgos Rodriguez enrolled in Medicare?

Yes. Stephanie Burgos Rodriguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Burgos Rodriguez was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.