Provider Demographics
NPI:1134876600
Name:RODRIGUEZ, DEVIN SAMUEL (PSYC, LPC)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:SAMUEL
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:PSYC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11990 GRANT ST STE 550
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1101
Mailing Address - Country:US
Mailing Address - Phone:720-239-2682
Mailing Address - Fax:
Practice Address - Street 1:11990 GRANT ST STE 550
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1101
Practice Address - Country:US
Practice Address - Phone:720-239-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC.00016058103T00000X
COLPC.0019767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty