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MAIRA MENDOZA LGPC200001626
NPI 1376323857
Counselor - Professional in Washington, DC

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment
2831 15TH ST NW, WASHINGTON, DC 20009(202) 413-6647 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maira Mendoza Lgpc200001626 NPPES

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

MAIRA MENDOZA LGPC200001626 (NPI 1376323857) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (LGPC200001626) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376323857
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMAIRA MENDOZACredential: LGPC200001626
Location Address2831 15TH ST NWWashington, DC 20009-4607
Mailing Address810 Kennedy St Nw Apt 205Washington, DC 20011-2947 · (202) 413-6647
Phone(202) 413-6647
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1376323857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in DC · LGPC200001626
2831 15TH ST NW, Washington, DC 20009
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maira Mendoza Lgpc200001626 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183946452
PECOS Enrollment IDI20260610000047
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 Maira Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica Del Pueblo, Inc.
Same address
Federally Qualified Health Center (FQHC)
2831 15TH STREET NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • 27 clinicians in this Medicare group
NPI 1124227590 (202) 462-4788

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 20

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

SARAH BOTTOMLEY NP
Nurse Practitioner (Adult Health)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
MS. DEBORAH ANNE BOMBARD PA-C
Physician Assistant (Medical)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
LA CLINICA DEL PUEBLO, INC
Clinic/Center (Adult Mental Health)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
DEYSI ESTELA NASH
Counselor (Addiction (Substance Use Disorder))
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 448-2835
DR. YOLANDA BERNICE MCKOY-BEACH PHARM.D.
Pharmacist (Pharmacotherapy)
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
ISAEL RAMIREZ I CACII
Counselor (Addiction (Substance Use Disorder))
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788
DR. DEBORAH SCHUMANN M.D.
Ophthalmology
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 448-2820
VICTORIA A WHITE MD
Family Medicine
2831 15TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 462-4788

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 Maira Mendoza's NPI number?

The NPI number for Maira Mendoza is 1376323857. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Maira Mendoza located?

Maira Mendoza practices at 2831 15th St NW, Washington, DC 20009. The listed phone number is (202) 413-6647.

What is Maira Mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Maira Mendoza enrolled in Medicare?

Yes. Maira Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maira Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maira Mendoza reassigns Medicare benefits to La Clinica Del Pueblo, Inc. (Washington, DC). 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 Maira Mendoza'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 Maira Mendoza was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.