Individual provider Active NPI

Cynthia Marie Elizondo, LPC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1093816043
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00299 Issued in MN
Practice address
2550 University Ave W
Suite 229N
Saint Paul, MN 55114-1052
Phone
(651) 645-3115
Fax
(651) 645-2752
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00299 MN Primary

Addresses

Primary practice location

2550 University Ave W
Suite 229N
Saint Paul, MN 55114-1052

Mailing address

1307 Goodrich Ave
Saint Paul, MN 55105-2708
Phone (651) 695-1022

Other identifiers 1

IdentifierTypeStateIssuer
41-1576550OtherPRACTICE FED TAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000455 MN Practitioner - Mental Health Counselor 3375049364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Arubah Emotional Health Services, PAGroup PAC ID 3971923681, 5 clinicians

Practice addresses (Care Compare)

705 42ND Ave N
FL 3
Minneapolis, MN 55412-1711
Phone (612) 284-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00299MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arubah Emotional Health Services PA CurrentSince Sep 1, 2025 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients
Psych Recovery Inc PastSince May 15, 2009 Accepting new patients

Locations

705 42nd Ave N
Fl 3
Minneapolis, MN 55412
Phone (612) 284-8115

5201 Bryant Ave N
Minneapolis, MN 55430
Phone (612) 284-8115

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1093816043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 GOODRICH AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052708",
            "telephone_number": "651-695-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 229N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE FED TAX ID#",
            "identifier": "41-1576550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.