Cynthia Nims-Johnson, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001891 Issued in CT

Practice address

1 Lafayette Cir
Bridgeport, CT 06604-6021

Phone

(203) 331-1503

Fax

(203) 331-1504

NPI assigned

Jan 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1700352721
  NPD (past)
• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bridgeport, CT
  • NPI 1720130362
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1134490980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FAIRFIELD AVE",
            "address_2": "SUITE 701",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066046014",
            "telephone_number": "203-336-5225",
            "fax_number": "203-336-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAFAYETTE CIR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066046021",
            "telephone_number": "203-331-1503",
            "fax_number": "203-331-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS-JOHNSON",
        "first_name": "CYNTHIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001891",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Nichols, LPN
• Elizabeth Nieves, MA
• Daniel Edgardo Nijensohn, M.D.
• Gurkamal Singh Nijjar
• Wesley Nilsson, MD
• Kathleen M Nishida, CNM
• Mahd Nishtar
• Yasine Njaya
• Kwabena Sefah Nketiah Sarpong, MBCHB
• No More Quarrels Psychotherapy, LLC

• Addiction (Substance Use Disorder) Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.