IndividualActive
Stephanie Rodriguez, RADT
NPI 1083177786 · Addiction (Substance Use Disorder) Counselor · Fresno, CA
Provider details
- NPI number
- 1083177786
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RADT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2772 S Martin Luther King Blvd
Fresno, CA 93706
Phone: (559) 265-4800
Street-level locationGet directions
Mailing address
2610 W Shaw Ln Ste 105
Fresno, CA 93711-2775
Additional practice locations (1)
- 10535 Road 35Madera, CA 93636-8487Phone: (559) 437-1144Fax: (559) 438-5004
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2020-02-12
- Certified
- 2020-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.