Active NPI
Patricia Cardoso, LPC, LMHC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1689897381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7610
- Practice address
- 600 W Cabarrus St
Raleigh, NC 27603-1953 - Phone
- (919) 833-3312
- Fax
- (919) 833-3512
- NPI assigned
- Apr 11, 2007
- Last updated
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 5042 | FL | |
| Professional Counselor | 101YP2500X | 7610 | NC | Primary |
Addresses
Primary practice location
600 W Cabarrus St
Raleigh, NC 27603-1953
Mailing address
600 W Cabarrus St
Raleigh, NC 27603-1953
Phone (919) 833-3312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 761591400 | Medicaid | FL |
Other names 1
- Miss Patricia Martinez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 5042 | FL | MD | Mental Health Counselor |
| 7610 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven House Inc. | Mental Health | Past | Accepting new patients |
| Haven House Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1770837536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1689897381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CABARRUS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031953",
"telephone_number": "919-833-3312",
"fax_number": "919-833-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CABARRUS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031953",
"telephone_number": "919-833-3312",
"fax_number": "919-833-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDOSO",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 5042",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "761591400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "MARTINEZ",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
- Cardinal Directions Behavioral Healthcare
- Cardinal Home Care Agency (SYNERGY HomeCare of North Raleigh)
- Cardinal Points Health, LLC
- Danielle Elizabeth Cardona, P.A.
- Marissa Anne Cardosi, MSW, LCSWA
- Afton Marie Carducci, PA-C
- Fredda Cardwell
- Tyisha Chanel Cardwell, LCSW
- Care by Your Side & Serivces, LLC
- Care Chiropractic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.