Maximo De La Cruz, QMHP-A-MA
NPI 1043875248 · Mental Health Counselor · Manassas, VA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1043875248
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHP-A-MA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 31 Ontell CtStafford, VA 22554-1566Phone: (571) 572-0050Fax: (888) 315-4281
- 1930 Opitz BlvdWoodbridge, VA 22191-3304Phone: (571) 572-0050Fax: (888) 315-4281
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.