Individual provider Active NPI

Andrea Carolina Florez Marino

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1003126160
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC2000012 Issued in DC
Practice address
430 Niagara St
Buffalo, NY 14201-1886
Phone
(716) 853-1335
Fax
(716) 853-1598
NPI assigned
Oct 7, 2010
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC2000012 DC Primary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU

Addresses

Primary practice location

430 Niagara St
Buffalo, NY 14201-1886

Mailing address

301 Cayuga Rd
Cheektowaga, NY 14225-1950
Phone (716) 819-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016001928 DC Practitioner - Mental Health Counselor 8527555184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3117 Duke St
Alexandria, VA 22314-4518

627 Windrift Dr
Dallas, GA 30132-9094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC2000012DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC CurrentSince Sep 1, 2025 Accepting new patients
Comprehensive Primary Care and Associates LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6e4def70-1dc1-4769-a067-b144af5e540a/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1003126160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CAYUGA RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251950",
            "telephone_number": "716-819-3420",
            "fax_number": "716-819-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011886",
            "telephone_number": "716-853-1335",
            "fax_number": "716-853-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZ MARINO",
        "first_name": "ANDREA",
        "middle_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC2000012",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.