Cynthia L Mickel, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10115 Issued in TX

Practice address

118 W Heard St
Cleburne, TX 76033-3836

Phone

(817) 645-5517

Fax

(817) 645-5715

NPI assigned

Jan 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Star Council

  • Community/Behavioral Health Agency
  • Cleburne, TX
  • NPI 1275807216
  NPD (past)
• Star Council on Substance Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stephenville, TX
  • NPI 1336254184
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1093046344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S VIRGINIA ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014344",
            "telephone_number": "254-965-5515",
            "fax_number": "254-965-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W HEARD ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333836",
            "telephone_number": "817-645-5517",
            "fax_number": "817-645-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEL",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meals on Wheels North Central Texas Inc.
• Med Southwest, PLLC
• Jacqueline Melgar, FNP
• Patricia J Merrill, LCDC
• Bruce Leighton Mertz, M.D.
• Allison Rae Miller, M.S., CCC-SLP
• Joe Miller
• Rachael Allison Millham-Jones, FNP-BC
• Shannon Lance Mitchel, O.D.
• Tara Mitchell, LCSW

• Addiction (Substance Use Disorder) Counselor in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

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

Verify at the official NPI Registry.