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MR. MAXIMO DE LA CRUZ QMHP-A-MA
NPI 1043875248
Counselor - Mental Health in Manassas, VA

Active since May 03, 2019PECOS Enrolled
7530 DIPLOMAT DR STE 101, MANASSAS, VA 20109(571) 572-0050(888) 315-4281 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 20, 2026, May 3, 2019 (2 updates tracked since 2019).

About Mr. Maximo De La Cruz Qmhp-a-ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MAXIMO DE LA CRUZ QMHP-A-MA (NPI 1043875248) is an individual mental health provider in Manassas, Virginia and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043875248
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MAXIMO DE LA CRUZCredential: QMHP-A-MA
Location Address7530 DIPLOMAT DR STE 101Manassas, VA 20109-2682
Mailing Address31 Ontell CtStafford, VA 22554-1566 · (571) 572-0050 · Fax (888) 315-4281
Phone(571) 572-0050
Fax(888) 315-4281
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 3, 2019
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1043875248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 3329-05-001 (VA), 3329 (VA)
7530 DIPLOMAT DR STE 101, Manassas, VA 20109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 131 Ontell CtStafford, VA 22554-1566 · Phone (571) 572-0050 · Fax (888) 315-4281
Location 21930 Opitz BlvdWoodbridge, VA 22191-3304 · Phone (571) 572-0050 · Fax (888) 315-4281

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Maximo De La Cruz Qmhp-a-ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729568985
PECOS Enrollment IDI20260217001089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maximo De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Absolute Mental Health Clinic LLC
17 mi
Adolescent and Children Mental Health
1930 OPITZ BLVD
Woodbridge, VA 22191
  • Reassigned Medicare billing, Virginia enrollment
NPI 1366007460 (571) 318-5881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A-Z MENTAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7530 DIPLOMAT DR STE 101
MANASSAS, VA 20109
Prince William County (703) 586-8434
ALL ABOUT MARKETING LLC
Home Health
7530 DIPLOMAT DR STE 101
MANASSAS, VA 20109
Prince William County (571) 379-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maximo De La Cruz's NPI number?

The NPI number for Maximo De La Cruz is 1043875248. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Maximo De La Cruz located?

Maximo De La Cruz practices at 7530 Diplomat Dr Ste 101, Manassas, VA 20109. The listed phone number is (571) 572-0050.

What is Maximo De La Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Maximo De La Cruz enrolled in Medicare?

Yes. Maximo De La Cruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maximo De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maximo De La Cruz reassigns Medicare benefits to Absolute Mental Health Clinic LLC (Woodbridge, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maximo De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maximo De La Cruz was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.