Individual provider Active NPI

Cynthia Wulff, LMFT

  • Marriage & Family Therapist
  • Daphne, AL
National Provider Identifier
1134596208
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
379 Issued in AL
Practice address
27625 US Highway 98
Building a
Daphne, AL 36526-4816
Phone
(251) 626-7959
Fax
(251) 626-6122
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 379 AL Primary

Addresses

Primary practice location

27625 US Highway 98
Building a
Daphne, AL 36526-4816

Mailing address

27625 US Highway 98
Building a
Daphne, AL 36526-4816
Phone (251) 626-7959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
379ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1134596208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98",
            "address_2": "BUILDING A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98",
            "address_2": "BUILDING A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFF",
        "first_name": "CYNTHIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.