Active NPI
Cynthia Tanaka Counseling and Consulting Services
- Mental Health Counselor
- Walsenburg, CO
National Provider Identifier
1003355801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5724
- Legal business name
- CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES
- Practice address
- 615 Russell Ave
Walsenburg, CO 81089-2127 - Phone
- (719) 588-6578
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Tanaka, LPC
- Title
- Owner
- Phone
- (719) 588-6578
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5724 | CO | Primary |
| Professional Counselor | 101YP2500X | 5724 | CO |
Addresses
Primary practice location
615 Russell Ave
Walsenburg, CO 81089-2127
Mailing address
PO Box 313
Alamosa, CO 81101-0313
National Provider Directory
National Provider Directory- Tax ID family
- Cynthia Tanaka Counseling and Consulting Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Alamosa, CO
- NPI 1043758964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1003355801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 313",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811010313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 RUSSELL AVE",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "810892127",
"telephone_number": "719-588-6578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "TANAKA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-588-6578",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "5724",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walsenburg, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.