Melissa R Cardenas, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9768 Issued in TX

Practice address

3566 Mistic GRV
San Antonio, TX 78247-3137

Phone

(210) 862-4234

NPI assigned

Dec 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: melissa.cardenas@3705.securemail.prognocis.com

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1447766340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 MISTIC GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473137",
            "telephone_number": "210-862-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 MISTIC GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473137",
            "telephone_number": "210-862-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 E Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782123012",
            "country_code": "US",
            "telephone_number": "210-785-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Denise Cardenas, PA-C
• Lorenna Cardenas
• Luis Sergio Cardenas II, APRN-NP-C
• Mary Lou Cardenas
• Melissa C. Cardenas, R.PH.
• Michael Anthony Cardenas, MD
• Monica Ivette Cardenas
• Rogelio Cardenas, FIRST ASSIST
• Roland Adam Cardenas
• Rosaidalia Cardenas, PA-C

• Addiction (Substance Use Disorder) Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.