Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan Rodriguez, IMH41870

Individual provider Mental Health Counselor · NPI 1417544966

Jan Rodriguez, IMH41870 is a Mental Health Counselor in Miami, Florida. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12360 SW 132nd Ct Ste 113
Miami, FL 33186-6461
Phone: (305) 588-4143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8611 Villa Point Dr Apt 12212, Orlando, FL 32810-2197 — (786) 402-7106
  • 1298 Minnesota Ave Ste C, Winter Park, FL 32789-7104 — (407) 205-9317

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH26345 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence IMH20303 (FL)

Record details

NPI number1417544966
Entity typeIndividual (Type 1)
GenderMale
Credentials IMH41870
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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