Active NPI
Yomarie E Cruz
- Mental Health Counselor
- Dumfries, VA
National Provider Identifier
1215571609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0733002046
- Practice address
- 18107 Red Mulberry Rd
Dumfries, VA 22026-2951 - Phone
- (571) 778-9284
- NPI assigned
- Oct 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0733002046 | VA | Primary |
Addresses
Primary practice location
18107 Red Mulberry Rd
Dumfries, VA 22026-2951
Mailing address
18107 Red Mulberry Rd
Dumfries, VA 22026-2951
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 |
|---|---|---|---|
| 0733002046 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1215571609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18107 RED MULBERRY RD",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18107 RED MULBERRY RD",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262951",
"telephone_number": "571-778-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "YOMARIE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0733002046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.