SANDRA I RODRIGUEZ LPC
NPI 1790565612
Counselor - Professional in Fords, NJ
About Sandra I Rodriguez Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA I RODRIGUEZ LPC (NPI 1790565612) is an individual professional provider in Fords, New Jersey, licensed in New Jersey (37PC01206100) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra I Rodriguez Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Laurel, NJ 08054
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: New Jersey Behavioral Health PC
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sandra Rodriguez's NPI number?
The NPI number for Sandra Rodriguez is 1790565612. It was assigned to this individual provider in the NPPES registry on September 29, 2023.
Where is Sandra Rodriguez located?
Sandra Rodriguez practices at 43 Liberty St, Fords, NJ 08863. The listed phone number is (732) 406-4857.
What is Sandra Rodriguez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sandra Rodriguez enrolled in Medicare?
Yes. Sandra Rodriguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Rodriguez reassigns Medicare benefits to New Jersey Behavioral Health P.C (Mount Laurel, NJ). 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 Sandra Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Rodriguez was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sandra I Rodriguez, LPC · NPI 1790565612
Professional provider in Fords, New Jersey. Individual provider, active in the CMS NPPES registry since September 29, 2023.
## Identity
- **NPI:** 1790565612 (Entity type: Individual)
- **Enumerated:** September 29, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01206100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 43 LIBERTY ST, Fords, NJ 08863-2214
- **Phone:** (732) 406-4857
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New Jersey Behavioral Health P.C (NPI 1538744297, Mount Laurel, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790565612) · Data from the CMS NPPES public registry.