MEDICARE: JESSICA RODRIGUEZ ATR-P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist	25-126	NC

General Provider Information

NPI Number	:	1528863560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA RODRIGUEZ ATR-P

Provider Business Mailing Address
First Line	:	4314 CASTLETON RD APT A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-3106
Country	:	US
Telephone Number	:	704-577-6771
Fax Number	:

Provider Business Practice Location Address
First Line	:	4928 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3506
Country	:	US
Telephone Number	:	704-577-6771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2025
Last Update Date	:	09/06/2025

Similar Medicare Providers

1427911361 — EMILY R COUNSELING, PLLC
Practice Location Address:

4928 PARK RD
CHARLOTTE, NC
28209-3506

Practice Phone: 470-289-6301
Practice Fax:

1992758460 — MS. KATHLEEN MARIE BREADY LPC
Practice Location Address:

4950 PARK RD
CHARLOTTE, NC
28209-3506

Practice Phone: 704-523-4881
Practice Fax: 704-523-4854

1386895415 — ANNE GODFREY DICKERSON LPC
Practice Location Address:

4950 PARK RD
CHARLOTTE, NC
28209-3506

Practice Phone: 704-523-4881
Practice Fax: 704-523-4854

1609412360 — ERICA MICHELLE LINDENBERG LCSW
Practice Location Address:

4928 PARK RD
CHARLOTTE, NC
28209-3506

Practice Phone: 919-283-1612
Practice Fax:

1235013277 — ERICA LINDENBERG LCSW, PLLC
Practice Location Address:

4928 PARK RD
CHARLOTTE, NC
28209-3506

Practice Phone: 919-283-1612
Practice Fax:

1306816681 — DR. AAISHA HAQUE M.D.
Practice Location Address:

3506 W TYVOLA RD
CHARLOTTE, NC
28208-7201

Practice Phone: 704-329-1300
Practice Fax: 302-888-2734

Directions to “ JESSICA RODRIGUEZ ATR-P” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.