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 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.

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: October 18, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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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.

Medicare Billing Reassignment

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

Alere Emotional Health LLC

40 mi

Community/Behavioral Health

1016 CLARE AVE STE 5
West Palm Beach, FL 33401

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1396366324 (561) 703-2660

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 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)