Active NPI
Jose Alejandro Cantabrana
- Mental Health Counselor
- Yuma, AZ
National Provider Identifier
1396426995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2197 S 4TH Ave Ste 202
Yuma, AZ 85364-6473 - Phone
- (928) 388-5806
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2197 S 4TH Ave Ste 202
Yuma, AZ 85364-6473
Mailing address
2197 S 4TH Ave Ste 202
Yuma, AZ 85364-6473
Phone (928) 388-5806
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Joureny | Mental Health | Current | Accepting new patients |
Locations
2197 S 4th Ave
Ste 202
Yuma, AZ 85364
Phone (928) 581-8624
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1396426995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2197 S 4TH AVE STE 202",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646473",
"telephone_number": "928-388-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2197 S 4TH AVE STE 202",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646473",
"telephone_number": "928-388-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTABRANA",
"first_name": "JOSE",
"middle_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.