Individual provider Active NPI

Cynthia Leigh Kimberlin-Flanders, LPC

  • Professional Counselor
  • Murray, UT
National Provider Identifier
1164588703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4913668-6004 Issued in UT
Practice address
845 E 4800 S
Suite 200
Murray, UT 84107-5049
Phone
(801) 264-9522
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4913668-6004 UT Primary

Addresses

Primary practice location

845 E 4800 S
Suite 200
Murray, UT 84107-5049

Mailing address

1877 S Woodside Dr
Holladay, UT 84124-1630
Phone (801) 231-5916

Other identifiers 1

IdentifierTypeStateIssuer
4913668001001OtherUTBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212001974 UT Practitioner - Mental Health Counselor 0840784245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

310 E 4500
Suite 600
Murray, UT 84107-4246
Phone (801) 264-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4913668-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc CurrentSince Oct 3, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Oct 3, 2025 Accepting new patients

Locations

310 E 4500 S
Ste 600
Salt Lake City, UT 84107
Phone (801) 264-9522

845 E 4800 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 264-9522

Networks

  • UT PPO D-SNP
  • UT PPO

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164588703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 S WOODSIDE DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841241630",
            "telephone_number": "801-231-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 4800 S",
            "address_2": "SUITE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075049",
            "telephone_number": "801-264-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLIN-FLANDERS",
        "first_name": "CYNTHIA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "4913668-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4913668001001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.