Individual provider Active NPI

Cynthia Rose Badger, L.C.S.W.-R

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1013005081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
074783 Issued in NY
Practice address
530 Oak St
Syracuse, NY 13203-1652
Phone
(315) 439-6048
Fax
(315) 473-9300
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 074783 NY Primary

Addresses

Primary practice location

530 Oak St
Syracuse, NY 13203-1652

Mailing address

530 Oak St
Syracuse, NY 13203-1652
Phone (315) 439-6048

Other identifiers 1

IdentifierTypeStateIssuer
LCSW-R #074783OtherNYLCSW-R

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001338 NY Practitioner - Clinical Social Worker 6103180955 Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 E Genesee St
Suite 230
Syracuse, NY 13202-3108
Phone (315) 439-6048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074783NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013005081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031652",
            "telephone_number": "315-439-6048",
            "fax_number": "315-473-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 OAK ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031652",
            "telephone_number": "315-439-6048",
            "fax_number": "315-473-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "CYNTHIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "074783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-R",
            "identifier": "LCSW-R #074783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.