Organization Active NPI

Hispaniola Mental Health, LLC

  • Counselor
  • North Chesterfield, VA
National Provider Identifier
1700549896
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Maria Marcelina Flores, LMHP-RICNPI 1336076645
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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.