Individual provider Active NPI

Cynthia Christine Ridgway, LMHP

  • Mental Health Counselor
  • Graham, WA
National Provider Identifier
1063681948
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011271 Issued in WA
Practice address
16213 234 St. CT. E.
Graham, WA 98338-8614
Phone
(360) 872-8017
Fax
(206) 367-1860
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 LH00011271 WA Primary

Addresses

Primary practice location

16213 234 St. CT. E.
Graham, WA 98338-8614

Mailing address

16213 234 St. CT. E.
Graham, WA 98338-8614
Phone (360) 872-8017

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

State licenses

LicenseStateTypeSpecialty
LH00011271WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Going the Distance Counseling and Consulting Services Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Bethany Christian Services Past Accepting new patients

Locations

3312 Rosedale St
Ste 107
Gig Harbor, WA 98335
Phone (360) 529-3401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063681948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16213 234 ST. CT. E.",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388614",
            "telephone_number": "360-872-8017",
            "fax_number": "206-367-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16213 234 ST. CT. E.",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388614",
            "telephone_number": "360-872-8017",
            "fax_number": "206-367-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "CYNTHIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.