Individual provider Active NPI

Anais Cordova-Diaz, LPC

  • Professional Counselor
  • Bayamon, PR
National Provider Identifier
1154037380
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79653 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
002933PRMDProfessional Counselor
79653TXMDProfessional 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.

Verify at the official NPI Registry.