Active NPI
Roseanna P Cyr, MA, MT-BC, LMHC, LPC
- Professional Counselor
- Madison, WI
National Provider Identifier
1144601931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5694-125
- Practice address
- 2811 Monroe St
Apt 1E
Madison, WI 53711-1859 - Phone
- (802) 839-5518
- NPI assigned
- Jun 17, 2015
- 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 | 000008714 | MA | |
| Professional Counselor | 101YP2500X | 5694-125 | WI | Primary |
Addresses
Primary practice location
2811 Monroe St
Apt 1E
Madison, WI 53711-1859
Mailing address
2811 Monroe St
Apt 1E
Madison, WI 53711-1859
Phone (802) 839-5518
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000008714 | MA | MD | Mental Health Counselor |
| 5694-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1144601931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 MONROE ST",
"address_2": "APT 1E",
"city": "MADISON",
"state": "WI",
"postal_code": "537111859",
"telephone_number": "802-839-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 MONROE ST",
"address_2": "APT 1E",
"city": "MADISON",
"state": "WI",
"postal_code": "537111859",
"telephone_number": "802-839-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR",
"first_name": "ROSEANNA",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "MA, MT-BC, LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "000008714",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5694-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.