Cynthia Louise Lange, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CYNTHIA LOUISE LANGE, LLC

Practice address

330 S 4TH Ave
Pocatello, ID 83201-6403

Phone

(406) 848-4827

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Deborah A Goss

Title

Credentialing Specialist

Phone

(208) 221-1161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1174170708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016403",
            "telephone_number": "406-848-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016403",
            "telephone_number": "406-848-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA LOUISE LANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "208-221-1161"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger David Cushman, P.A.
• Cutler Casemanagement
• Natasha Jeanne Cutler, LCSW
• Maryazucena Cutright, PHARMD
• Olivia Kay Cymes
• Cynthia M Rice
• Brittany Marie Czerna, MSN, FNP
• Sherwin D'Souza, M.D.
• D6 Treatment
• Kevin Jay Daffer

• Professional Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.