Mayra Crystal Cardenas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008801 Issued in VA

Practice address

14000 Crown CT Ste 101
Woodbridge, VA 22193-1461

Phone

(703) 608-0422

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1922645605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12694 CASTILE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923111",
            "telephone_number": "703-608-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931461",
            "telephone_number": "703-608-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MAYRA",
        "middle_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mccardenas@yftva.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Woodbridge",
            "address_1": "12694 Castile Ct",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221923111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Capital Area Internal Medicine Inc (Capital Area Physician Weight and Wellness Center)
• Capital Area Physician Weight & Wellness Center, Inc (Luminiv Wellness)
• Capital Healthcare PC Dba Allcare (Allcare)
• Emily Rose Caplan, PA-C
• Michael S Caplan, MD
• Tiffany Cardenas, PT, DPT
• Cardiac Care Center PC
• Cardinal Family Counseling, PLLC
• Cardinal Internal Medicine Associates
• Cardiovascular Care Center LLC

• Professional Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.