DR. JARISKA K RODRIGUEZ (PSY.D., LPC) – Forensic Psychologist, NPI 1831356864
Forensic Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
696 MENTAL HEALTH COUNSELOR in CA
Provider Addresses for DR. JARISKA K RODRIGUEZ (PSY.D., LPC)
3143 CANE MILL DR
ALBANY, GA 317217114
Phone: (229) 789-4400
Type: Mailing
12256 Haster St
Unit C
Garden Grove, CA 928404534
Phone: (949) 456-3984
Type: Location
1216 Dawson Rd Ste 219
Albany, GA 317075754
Phone: (205) 304-1506
Type: Location
Haster Street, Garden Grove, Orange County, California, 92868-3100, United States
UNIT C
GARDEN GROVE, CA 928404534
Phone:
Type: Mailing
514 W OGLETHORPE BLVD
ALBANY, GA 317012838
Phone: (205) 304-1506
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-26
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241007001709 | I | Mental Health Counselor | GA | TBD |
| I20251126003976 | I | Mental Health Counselor | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31721)
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