Cynthia Vasilas, PHD. NCC LCMHS BC-TH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9124 Issued in NC

Practice address

2922 Audrey Dr
Gastonia, NC 28054-7268

Phone

(704) 709-1147

Fax

(980) 495-8940

NPI assigned

Oct 28, 2014

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Rock of Refuge

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1679150015
  NPD Authorized official
• Cornerstone Counseling Center

  • Professional Counselor
  • Hickory, NC
  • NPI 1740371491
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1154726529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 EASTWAY DR",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349570",
            "telephone_number": "704-709-1147",
            "fax_number": "980-495-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 AUDREY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547268",
            "telephone_number": "704-709-1147",
            "fax_number": "980-495-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILAS",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PHD. NCC LCMHS BC-TH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime J Vanourny, MD
• Dana Elizabeth Vanstrom, LCSWA
• Alisha J Vargas
• Michael S Vargas, MSPT
• William Hugh Varley, PH D
• Jeanann Vawter, NP
• Bryanna Vega, RBT
• Vein Specialists of the Carolinas, PA
• Lauren Venning
• Kyle Louis Venrick, CRNA

• Professional Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.