Individual provider Active NPI

Cyndi L Shepherd, LCDCII

  • Addiction (Substance Use Disorder) Counselor
  • Athens, OH
National Provider Identifier
1154924058
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDCII.162210 Issued in OH
Practice address
400 E State St Ste D
Athens, OH 45701-1870
Phone
(866) 534-2639
Fax
(800) 480-7578
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X LCDCII.162210 OH Primary

Addresses

Primary practice location

400 E State St Ste D
Athens, OH 45701-1870

Mailing address

900 Green Dr
Coshocton, OH 43812-2454
Phone (614) 984-1460

Other identifiers 1

IdentifierTypeStateIssuer
0426488MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
LCDCII.162210OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Behavioral Health Solutions LLC Single Specialty CurrentSince Nov 29, 2020 Accepting new patients
Cedar Ridge Behavioral Health Solutions PastSince Nov 29, 2020 Accepting new patients

Locations

841 Steubenville Ave
Cambridge, OH 43725
Phone (855) 962-7247

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1154924058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GREEN DR",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122454",
            "telephone_number": "614-984-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE ST STE D",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011870",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CYNDI",
        "middle_name": "L",
        "credential": "LCDCII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCII.162210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.