Cynthia M Harbaugh, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CYNTHIA M HARBAUGH, LLC

Practice address

200 W Monroe St Ste 305
Bloomington, IL 61701-3997

Phone

(309) 862-3620

Fax

(309) 322-0535

NPI assigned

Sep 19, 2020

Organization subpart

No

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

Authorized official

Name

Cynthia M Jagodzinski, LCSWNPI 1013377712

Title

Owner

Phone

(309) 862-3620

Specialties & licenses 1

Addresses

Tax ID family

Cynthia M Harbaugh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cynthia M Harbaugh, LLC

  • Mental Health Counselor
  • Bloomington, IL
  • NPI 1750211546
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Marie Jagodzinski

  • Mental Health Counselor
  • Bloomington, IL
  • NPI 1013377712
  NPD Authorized official

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1033725619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CRESTLINE DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612437",
            "telephone_number": "309-862-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MONROE ST STE 305",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013997",
            "telephone_number": "309-862-3620",
            "fax_number": "309-322-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA M HARBAUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "JAGODZINSKI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-862-3620",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cura Medical Group, LLC
• Julia M Current
• Ellington M Currie, RN
• Trevor Curry, ATC, LAT
• Marvis Custer
• Cynthia M Harbaugh, LLC
• Rhianna Cyr
• Anna M Czipri, PSY.D.
• D B Medical Supplies Inc
• Athena Dacanay, PSYD

• Mental Health Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.