Michael Cordova, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

175 Dwight Rd Ste 201B
Longmeadow, MA 01106-1576

Phone

(413) 507-6668

NPI assigned

Jun 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Michael Cordova Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1821833963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CARR 932 APT 1032",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007787618",
            "telephone_number": "787-432-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD STE 201B",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061576",
            "telephone_number": "413-507-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Carr 932 Apt 1032",
            "address_purpose": "LOCATION",
            "city": "Gurabo",
            "state": "PR",
            "postal_code": "007787618",
            "country_code": "US",
            "telephone_number": "787-432-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CORDOVA",
            "prefix": "MR.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.