MAYRA CRYSTAL CARDENAS
NPI 1922645605
Counselor - Professional in Woodbridge, VA

Active since December 02, 2019PECOS Enrolled
14000 CROWN CT STE 101, WOODBRIDGE, VA 22193(703) 608-0422 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mayra Crystal Cardenas NPPES

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

MAYRA CRYSTAL CARDENAS (NPI 1922645605) is an individual professional provider in Woodbridge, Virginia, licensed in Virginia (0701008801) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922645605
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMAYRA CRYSTAL CARDENAS
Location Address14000 CROWN CT STE 101Woodbridge, VA 22193-1461
Mailing Address12694 Castile CtWoodbridge, VA 22192-3111 · (703) 608-0422
Sole ProprietorYes
Enumeration DateDecember 2, 2019
✔ NPI 1922645605 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 VA · 0701008801
14000 CROWN CT STE 101, Woodbridge, VA 22193

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Crystal Cardenas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mayra Cardenas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Residential Treatment Facility
11835 HAZEL CIRCLE DR
Bristow, VA 20136
  • Reassigned Medicare billing, Virginia enrollment
  • 24 clinicians in this Medicare group

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 5

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

Counselor (Professional)
14000 CROWN CT STE 101
WOODBRIDGE, VA 22193
Counselor (Professional)
14000 CROWN CT STE 101
WOODBRIDGE, VA 22193
Counselor (Professional)
14000 CROWN CT STE 101
WOODBRIDGE, VA 22193
Nurse Practitioner (Psychiatric/Mental Health)
14000 CROWN CT STE 101
WOODBRIDGE, VA 22193
Counselor (Professional)
14000 CROWN CT STE 101
WOODBRIDGE, VA 22193

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 Mayra Cardenas's NPI number?

The NPI number for Mayra Cardenas is 1922645605. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Mayra Cardenas located?

Mayra Cardenas practices at 14000 Crown Ct Ste 101, Woodbridge, VA 22193. The listed phone number is (703) 608-0422.

What is Mayra Cardenas's specialty?

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

Is Mayra Cardenas enrolled in Medicare?

Yes. Mayra Cardenas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mayra Cardenas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Cardenas reassigns Medicare benefits to Youth For Tomorrow New Life Center, Inc. (Bristow, 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 Mayra Cardenas'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 Mayra Cardenas was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.