Individual provider Active NPI

Cristina Sanda Emrich, DO

  • Professional Counselor
  • Bristow, VA
National Provider Identifier
1649962879
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGPC200001441 Issued in DC
Practice address
10801 Gallop LN
Bristow, VA 20136-1801
Phone
(803) 236-6208
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGPC200001441 DC Primary

Addresses

Primary practice location

10801 Gallop LN
Bristow, VA 20136-1801

Mailing address

10801 Gallop LN
Bristow, VA 20136-1801
Phone (803) 236-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260210000020 MD Practitioner - Mental Health Counselor 1254810351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1278
Lincolnton, NC 28093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LGPC200001441DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centrepointe Counseling, Inc. CurrentSince Jan 27, 2026 Accepting new patients
Centrepointe Counseling, Inc Past Accepting new patients

Locations

17826 New Hampshire Ave
Ashton, MD 20861
Phone (800) 491-5639

6510 Laurel Bowie Rd
Bowie, MD 20715
Phone (443) 244-4122

Organizations & group practices 2

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1649962879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 GALLOP LN",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361801",
            "telephone_number": "803-236-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 GALLOP LN",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361801",
            "telephone_number": "803-236-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRICH",
        "first_name": "CRISTINA",
        "middle_name": "SANDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.