Individual provider Active NPI

Cristiam Espinoza-Madrid, LPC

  • Mental Health Counselor
  • Hope, AR
National Provider Identifier
1487039004
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1809128 Issued in AR
Practice address
114 S Elm St
Hope, AR 71801-4311
Phone
(870) 345-3214
Fax
(870) 361-6017
NPI assigned
Jul 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 P1809128 AR Primary

Addresses

Primary practice location

114 S Elm St
Hope, AR 71801-4311

Mailing address

114 S Elm St
Hope, AR 71801-4311
Phone (870) 345-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003694 AR Practitioner - Mental Health Counselor 3870944630 Practice locations: Hope, AR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 S Elm St
Hope, AR 71801-4311
Phone (870) 345-3214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Espinoza Professional Services, LLC Mental Health CurrentSince Nov 15, 2017 Accepting new patients
Arkansas Counseling and Psychodiagnostics, Inc. PastSince Jan 1, 2021 Accepting new patients
Arkansas Counseling and Psychodiagnostics, Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

114 S Elm St
Hope, AR 71801
Phone (870) 345-3214

Organizations & group practices 3

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1487039004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S ELM ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718014311",
            "telephone_number": "870-345-3214",
            "fax_number": "870-361-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S ELM ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718014311",
            "telephone_number": "870-345-3214",
            "fax_number": "870-361-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA-MADRID",
        "first_name": "CRISTIAM",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1809128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

Verify at the official NPI Registry.