Active NPI
Cynthia Renae Dodd, MA, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1043525363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5528
- Practice address
- 6412 Bannington Rd
Charlotte, NC 28226-1327 - Phone
- (704) 364-9176
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5528 | NC | Primary |
Addresses
Primary practice location
6412 Bannington Rd
Charlotte, NC 28226-1327
Mailing address
338 S Sharon Amity Rd
#139
Charlotte, NC 28211-2806
Phone (704) 995-5186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11925600 | Other | CAQH |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5528 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1043525363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 S SHARON AMITY RD",
"address_2": "#139",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112806",
"telephone_number": "704-995-5186",
"fax_number": "803-396-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 BANNINGTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282261327",
"telephone_number": "704-364-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "CYNTHIA",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11925600",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.