Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Maximo De la Cruz, QMHP-A-MA

Individual provider Mental Health Counselor · NPI 1043875248

Mr. Maximo De la Cruz, QMHP-A-MA is a Mental Health Counselor in Manassas, Virginia. Qualified in 2002, 24 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

7530 Diplomat Dr Ste 101
Manassas, VA 20109-2682
Phone: (571) 572-0050
Fax: (888) 315-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 31 Ontell Ct, Stafford, VA 22554-1566 — (571) 572-0050
  • 1930 Opitz Blvd, Woodbridge, VA 22191-3304 — (571) 572-0050

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (VA)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence 3329-05-001 (VA)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence 3329 (VA)

Record details

NPI number1043875248
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP-A-MA
Sole proprietorYes
NPI enumeratedMay 3, 2019
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Manassas