MS. CAROLYN RODRIGUEZ NEISIUS LPC
NPI 1619638608
Counselor in N Richland Hills, TX

Active since January 03, 2022Opted out of Medicare · through May 17, 2028
8813 N TARRANT PKWY STE 205, N RICHLAND HILLS, TX 76182(682) 328-3458 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Carolyn Rodriguez Neisius Lpc NPPES

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

MS. CAROLYN RODRIGUEZ NEISIUS LPC (NPI 1619638608) is an individual counselor in N Richland Hills, Texas, licensed in Texas (68073) and active in the NPI registry since January 2022. She has opted out of Medicare through May 17, 2028.

NPPES Registry Identity

NPI1619638608
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. CAROLYN RODRIGUEZ NEISIUSCredential: LPC
Location Address8813 N TARRANT PKWY STE 205N Richland Hills, TX 76182-8461
Mailing Address2503 Kings CtColleyville, TX 76034-5056 · (682) 328-3458
Sole ProprietorYes
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1619638608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in TX · 68073
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8813 N TARRANT PKWY STE 205, N Richland Hills, TX 76182

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Carolyn Rodriguez Neisius Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2024 through May 17, 2028.

Opt-Out Effective DateMay 17, 2024
Opt-Out In Effect ThroughMay 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Carolyn Neisius's NPI number?

The NPI number for Carolyn Neisius is 1619638608. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Carolyn Neisius located?

Carolyn Neisius practices at 8813 N Tarrant Pkwy Ste 205, N Richland Hills, TX 76182. The listed phone number is (682) 328-3458.

What is Carolyn Neisius's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Carolyn Neisius enrolled in Medicare?

No. Carolyn Neisius has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Neisius was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.