Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15107 Issued in NC

Practice address

320 E Lee Ave
Yadkinville, NC 27055-8132

Phone

(336) 679-8805

Fax

(336) 679-3057

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Cindy Brown Stiltner Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cindy.brown@icounselingnc.com

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

• Strategic Interventions, LLC

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1841515640
  NPD (past)

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1053941120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "PINNACLE",
            "state": "NC",
            "postal_code": "270430486",
            "telephone_number": "336-624-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-8805",
            "fax_number": "336-679-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 E Main St",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "270558134",
            "country_code": "US",
            "telephone_number": "800-352-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Bitting Hall Cir",
            "address_purpose": "LOCATION",
            "city": "Rural Hall",
            "state": "NC",
            "postal_code": "270459883",
            "country_code": "US",
            "telephone_number": "336-624-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN STILTNER",
        "first_name": "CYNTHIA",
        "credential": "NCC, LCAS-A, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20833",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15107",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAYMARK GROUP BCBSNC PPN",
            "identifier": "016A3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053941120",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558329243",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindy.brown@nccare.net",
            "affiliation": "N",
            "endpointDescription": "SI Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "403 E Main St",
            "city": "Yadkinville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270558134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cindy.brown@icounselingnc.com",
            "affiliation": "N",
            "endpointDescription": "Provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3225 N Old 52 Rd",
            "city": "Pinnacle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270438381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "BROWN STILTNER",
            "credential": "NCC, LCAS-A, LPC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Wanda J Burger, LPC
• Brooke Leigh Butler
• Jong Koo Byun, DDS

• Mental Health Counselor in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.