MARY RUTH RODRIGUEZ


Address: 1512 W Gambrell St, Fort Worth, TX 76115-2207
Phone: 8177345331

MARY RUTH RODRIGUEZ (NPI# 1578044335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578044335
Entity Type Individual
Full Name MARY RUTH RODRIGUEZ
Other Name MARY BRISENO RODRIGUEZ
Credential LPC
Practice Address 1512 W Gambrell St
Fort Worth
TX 76115-2207
Mailing Address 8313 Orleans Ln
Fort Worth
TX 76123-1634
Practice Telephone 8177345331
Practice Fax Number 8179240440
Mailing Telephone 8175015657
Enumeration Date 2018-08-28
Last Update Date 2018-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 68990 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS 68990 01

Other Providers MARY RODRIGUEZ

NPI Name Taxonomy Address Enumeration
1134535214 Mary C Rodriguez Psychologist Hc 2 Box 11570, Humacao, PR 00791-9333 2014-07-09
1710232186 Mary N. Rodriguez Speech-Language Pathologist 9450 Pinecroft Dr, Spring, TX 77380-3220 2012-07-20
1417231002 Mary Michelle Rodriguez Social Worker 7420 E Saint Charles Rd, Apt. A, Columbia, MO 65202-6801 2011-10-01
1023274594 Mary Beth Rodriguez Counselor 3900 N Bear Canyon Rd., Tucson, AZ 85749-8220 2008-08-04
1598961021 Mary S Rodriguez Psychologist Box 1262, Coamo, PR 00769-1262 2007-06-22
1285843508 Mary Margaret Rodriguez Registered Nurse 2035 S Howard Stra, 200 E. 13th St., Tucson, AZ 85713-1442 2007-05-22
1225253339 Mary Rodriguez Speech-Language Pathologist 21 Oak St, Nesconset, NY 11767-2932 2007-04-16
1538772322 Mary Rodriguez Social Worker 809 Elmhurst Blvd, Salina, KS 67401 2020-08-31
1215575204 Mary Rodriguez Social Worker 1726 Buckley Ln, Provo, UT 84606-5031 2019-12-20
1235623653 Mary Angelic Rodriguez Counselor 2616 S Loop W Ste 665, Houston, TX 77054-2790 2018-06-19

Office Location

Street Address 1512 W GAMBRELL ST
City FORT WORTH
State TX
Zip Code 76115-2207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265899595 Deliliah Lemons Marriage & Family Therapist 1512 W Gambrell St, Fort Worth, TX 76115-2207 2016-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811400047 Christine Vera Varela Nurse Practitioner Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 2017-11-09
1376081752 Cheryl D. Mitchell Nurse Practitioner 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 2017-02-06
1508097858 Misti Lynne Poulos Massage Therapist 4534 Stanley Ave, #361, Fort Worth, TX 76115 2009-08-04
1609015312 Sirisha Bheemaneni Internal Medicine 11801 S Frwy, Fort Worth, TX 76115 2009-02-19
1639378292 Jeffrey J. Raymond Physician Assistant 544 West Seminary Dr, Fort Worth, TX 76115 2007-07-13
1336367952 Luis Sierra-nieves Physician Assistant 544 West Seminary Drive, Fort Worth, TX 76115 2007-04-20
1396861209 Remedios R Cabansag Obstetrics & Gynecology 11803 So Freewax, Suite 254, Fort Worth, TX 76115 2007-03-22
1073602611 Courage Rehab Clinic Clinic/Center 1670 North Hampton Road, Suite 110, Desoto, TX 76115 2006-10-12
1548369200 Vijay Khanna Podiatrist 4759 B South Freeway, Ft Worth, TX 76115 2006-09-21
1225045164 Allan M Wallace Optometrist 11803 South Frwy, Suite 114, Fort Worth, TX 76115 2006-08-02
Find all providers in zip 76115

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730794140 Cassandra Lamptey Counselor 2917 Buckskin Run, Fort Worth, TX 76116-9601 2020-09-11
1144851668 Estela Rodriguez Counselor 5441 Fursman Ave, Fort Worth, TX 76114-4507 2020-02-03
1679119390 Carlos Mendez Counselor 4801 Brentwood Stair Rd, Fort Worth, TX 76103-1729 2019-11-19
1912555012 Mylie Greenbach Counselor 7009 Brierhollow Ct, Fort Worth, TX 76132-7110 2019-09-01
1841782075 Roy Cecrle Counselor 3301 West Fwy Ste 105, Fort Worth, TX 76107-5709 2018-06-04
1245770122 Madison Elise Webb Counselor 6131 Avery Dr Apt 8202, Fort Worth, TX 76132-5325 2017-02-27
1417409780 Catherine A Presley Counselor 8106 Melrose St E, Fort Worth, TX 76108-2414 2016-11-02
1275993982 Dianna Clayton Counselor 5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 2016-02-24
1578943676 Lori Fangue Counselor 4316 Latigo Cir, Fort Worth, TX 76244-8153 2015-06-03
1346634086 John Mitchell Gray Counselor 3216 E 1st St, Fort Worth, TX 76111-3831 2015-03-19
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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