Active NPI
Angelo Luis Cabrera, LPC
- Counselor
- North Chesterfield, VA
National Provider Identifier
1548764582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- XXXXXXXXXXX
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601141216 | Medicaid | VA | |
| 1578994687 | Medicaid | VA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXXXXXX | VA | MD | Counselor |
| 0701007627 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- North Chesterfield, VA
- NPI 1124550587
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.