Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Susan Rosalva Rodriguez, LMHC-A

Individual provider Mental Health Counselor · NPI 1053206078

Jamie Susan Rosalva Rodriguez, LMHC-A is a Mental Health Counselor in Kokomo, Indiana. Qualified in 2023, 3 years ago. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

1234 N Courtland Ave
Kokomo, IN 46901-2754
Phone: (765) 860-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 88002276A (IN)

Record details

NPI number1053206078
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC-A
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kokomo