Active NPI
Andrea Carolina Florez Marino
- Mental Health Counselor
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRC2000012
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC2000012 | DC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Healthcare PC | Current | Accepting new patients | |
| Comprehensive Primary Care and Associates LLC | Current | 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
- 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.
-
dba CloseKnit
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
DC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.