Individual provider Active NPI

Yamilet Cardenas

  • Mental Health Counselor
  • Chantilly, VA
National Provider Identifier
1265149272
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014729 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270
Phone
(855) 326-4673
Fax
(703) 842-8130
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014729 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270

Mailing address

2565 Oconee Ave Apt 20
Virginia Beach, VA 23454-3944
Phone (757) 977-5518

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
0704014729VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivers of Hope Counseling Center LLC Mental Health CurrentSince Mar 19, 2023 Accepting new patients

Locations

4229 Lafayette Center Dr
Ste 1675
Chantilly, VA 20151
Phone (804) 476-0889

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1265149272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 OCONEE AVE APT 20",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543944",
            "telephone_number": "757-977-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1675",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511270",
            "telephone_number": "855-326-4673",
            "fax_number": "703-842-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "YAMILET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.