Active NPI
Juan Carlos Mendoza-Flores, MS, TLLP
- Counseling Psychologist
- Marquette, MI
National Provider Identifier
1942087887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6362009812
- Practice address
- 102 W Washington St Ste 106
Marquette, MI 49855-4350 - Phone
- (906) 228-8881
- NPI assigned
- Sep 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362009812 | MI | Primary |
Addresses
Primary practice location
102 W Washington St Ste 106
Marquette, MI 49855-4350
Mailing address
714 Spruce St Apt B1
Marquette, MI 49855-3747
Phone (906) 251-8272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009812 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1942087887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 SPRUCE ST APT B1",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553747",
"telephone_number": "906-251-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W WASHINGTON ST STE 106",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554350",
"telephone_number": "906-228-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA-FLORES",
"first_name": "JUAN CARLOS",
"credential": "MS, TLLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362009812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.