Active NPI
Hispaniola Mental Health, LLC
- Counselor
- North Chesterfield, VA
National Provider Identifier
1700549896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- HISPANIOLA MENTAL HEALTH, LLC
- Practice address
- 2911 Turner Rd Ste B6
North Chesterfield, VA 23224-2562 - Phone
- (804) 312-5002
- NPI assigned
- Oct 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Marcelina Flores, LMHP-RIC
- Title
- Owner
- Phone
- (804) 312-5002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2911 Turner Rd Ste B6
North Chesterfield, VA 23224-2562
Mailing address
149 Watercress CT
Colonial Heights, VA 23834-2193
Phone (804) 312-5002
Other names 1
- Hispaniola Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- North Chesterfield, VA
- NPI 1336076645
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1700549896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 WATERCRESS CT",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342193",
"telephone_number": "804-312-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 TURNER RD STE B6",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232242562",
"telephone_number": "804-312-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HISPANIOLA MENTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "MARCELINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-312-5002",
"authorized_official_credential": "LMHP-RIC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hispaniola Mental Health",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.