Active NPI
Anais Cordova-Diaz, LPC
- Professional Counselor
- Bayamon, PR
National Provider Identifier
1154037380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79653
- Practice address
- Urb. Sans Souci B28 Calle 13
Bayamon, PR 00957-4336 - Phone
- (787) 378-0708
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002933 | PR | |
| Professional Counselor | 101YP2500X | 79653 | TX | Primary |
Addresses
Primary practice location
Urb. Sans Souci B28 Calle 13
Bayamon, PR 00957-4336
Mailing address
Urb. Sans Souci B28 Calle 13
Bayamon, PR 00957-4336
Phone (787) 378-0708
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002933 | PR | MD | Professional Counselor |
| 79653 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1154037380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SANS SOUCI B28 CALLE 13",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009574336",
"telephone_number": "787-378-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SANS SOUCI B28 CALLE 13",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009574336",
"telephone_number": "787-378-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA-DIAZ",
"first_name": "ANAIS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "002933",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79653",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Laptop",
"affiliation": "N",
"address_1": "Urb. Sans Souci B28 calle 13",
"city": "Bayamon",
"state": "PR",
"country_code": "US",
"postal_code": "009574336",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.