Active NPI
Cynthia Justice, LISW
- Mental Health Counselor
- South Portsmouth, KY
National Provider Identifier
1124534482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I.1700365
- Practice address
- 67 Eleventh St
South Portsmouth, KY 41174-9041 - Phone
- (740) 464-8985
- NPI assigned
- Dec 22, 2017
- Last updated
- Apr 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I.1700365 | OH | Primary |
| Social Worker | 104100000X | I.1700365 | OH |
Addresses
Primary practice location
67 Eleventh St
South Portsmouth, KY 41174-9041
Mailing address
67 Eleventh St
South Portsmouth, KY 41174-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1700365 | OH | MD | Mental Health Counselor |
Interoperability endpoints
- cynthia.justice.p1@direct.thecounselingcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1124534482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 ELEVENTH ST",
"city": "SOUTH PORTSMOUTH",
"state": "KY",
"postal_code": "411749041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 ELEVENTH ST",
"city": "SOUTH PORTSMOUTH",
"state": "KY",
"postal_code": "411749041",
"telephone_number": "740-464-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "CYNTHIA",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I.1700365",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1700365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portsmouth, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.