Individual provider Active NPI

Cynthia A Perry, COUNSELOR, MS

  • Counselor
  • Madison, AL
National Provider Identifier
1013563717
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
104 Brickstone PL
Madison, AL 35756-3498
Phone
(256) 867-3787
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

104 Brickstone PL
Madison, AL 35756-3498

Mailing address

12060 County Line Rd # 284
Madison, AL 35756-2003
Phone (256) 867-3787

Other practice location 1

25565 Levie Davis Dr
Elkmont, AL 35620-5672
Phone (256) 867-3787

Other identifiers 1

IdentifierTypeStateIssuer
235540MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Brick Road Counseling, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

1403 Weatherly Plz SE
Ste 106
Huntsville, AL 35803
Phone (888) 355-7080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1013563717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 COUNTY LINE RD # 284",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562003",
            "telephone_number": "256-867-3787",
            "fax_number": "256-474-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BRICKSTONE PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357563498",
            "telephone_number": "256-867-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25565 Levie Davis Dr",
            "address_purpose": "LOCATION",
            "city": "Elkmont",
            "state": "AL",
            "postal_code": "356205672",
            "country_code": "US",
            "telephone_number": "256-867-3787",
            "fax_number": "256-474-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "COUNSELOR, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.