Active NPI
Cynthia Lynn Clements, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1114149119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19795
- Practice address
- 4600 Samuell Blvd
Dallas, TX 75228 - Phone
- (214) 381-7181
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 19795 | TX | Primary |
Addresses
Primary practice location
4600 Samuell Blvd
Dallas, TX 75228
Mailing address
4309 Cedar Springs
Dallas, TX 75219
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19795 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Interoperability endpoints
- cynthia.clements.bhc.1@3548.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114149119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 CEDAR SPRINGS",
"city": "DALLAS",
"state": "TX",
"postal_code": "75219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SAMUELL BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75228",
"telephone_number": "214-381-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.