Individual provider Active NPI

Angelo Luis Cabrera, LPC

  • Counselor
  • North Chesterfield, VA
National Provider Identifier
1548764582
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
XXXXXXXXXXX Issued in VA
Practice address
7825 Midlothian Tpke Ste 203
North Chesterfield, VA 23235-5247
Phone
(229) 412-8125
Fax
(804) 621-2292
NPI assigned
Mar 23, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701007627 VA
Counselor 101Y00000X XXXXXXXXXXX VA Primary
Professional Counselor 101YP2500X 0701007627 VA

Addresses

Primary practice location

7825 Midlothian Tpke Ste 203
North Chesterfield, VA 23235-5247

Mailing address

5300 Newbys Wood TRL
Chesterfield, VA 23832-7500
Phone (804) 836-7273

Other identifiers 2

IdentifierTypeStateIssuer
601141216MedicaidVA
1578994687MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XXXXXXXXXXXVAMDCounselor
0701007627VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe and Stable Families Wellness Center, P.C. Counselor Past Accepting new patients

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548764582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 NEWBYS WOOD TRL",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327500",
            "telephone_number": "804-836-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 MIDLOTHIAN TPKE STE 203",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355247",
            "telephone_number": "229-412-8125",
            "fax_number": "804-621-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ANGELO",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007627",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "XXXXXXXXXXX",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601141216",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578994687",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.