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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 68990 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS | 68990 | 01 |
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 |
Street Address |
1512 W GAMBRELL ST |
City | FORT WORTH |
State | TX |
Zip Code | 76115-2207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265899595 | Deliliah Lemons | Marriage & Family Therapist | 1512 W Gambrell St, Fort Worth, TX 76115-2207 | 2016-01-17 |
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 Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
City | FORT WORTH |
Zip Code | 76115 |
Please comment or provide details below to improve the information on MARY RUTH RODRIGUEZ.
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.