Individual provider Active NPI

Sonia Maria De la Cruz

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1710060108
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003604-1 Issued in NY
Practice address
6120 Grand Central Pkwy
Apt.B-507
Forest Hills, NY 11375-1263
Phone
(917) 673-7581
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003604-1 NY Primary

Addresses

Primary practice location

6120 Grand Central Pkwy
Apt.B-507
Forest Hills, NY 11375-1263

Mailing address

6120 Grand Central Pkwy
Apt B 507
Forest Hills, NY 11375-1263
Phone (917) 673-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241205001995 NY Practitioner - Mental Health Counselor 2668908336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003604-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Flushing Hospital Medical Center CurrentSince Oct 1, 2024 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1710060108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY",
            "address_2": "APT B 507",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751263",
            "telephone_number": "917-673-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY",
            "address_2": "APT.B-507",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751263",
            "telephone_number": "917-673-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "SONIA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.