JEAN CARLOS RODRIGUEZ
NPI 1679352165
Counselor - Mental Health in Fort Lauderdale, FL

Q: What is Jean Rodriguez's NPI number?

The NPI number for Jean Rodriguez is 1679352165. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Q: What is Jean Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jean Rodriguez was last updated on September 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2023PECOS Enrolled

300 SE 2ND ST STE 600, FORT LAUDERDALE, FL 33301(561) 907-7158 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jean Carlos Rodriguez NPPES

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

JEAN CARLOS RODRIGUEZ (NPI 1679352165) is an individual mental health provider in Fort Lauderdale, Florida and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679352165

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEAN CARLOS RODRIGUEZ

Location Address300 SE 2ND ST STE 600Fort Lauderdale, FL 33301-1950

Mailing Address455 Nw 17th Place Ext Apt 5Fort Lauderdale, FL 33311-4876 · (954) 232-2079

Phone(561) 907-7158

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1679352165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

300 SE 2ND ST STE 600, Fort Lauderdale, FL 33301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5496238982

PECOS Enrollment IDI20260312002408

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.

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Other Providers at the Same Location NPPES 14

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

MADELINE HAIR COLLECTION LLC

Durable Medical Equipment & Medical Supplies (Customized Equipment)