Individual provider Active NPI

Cynthia P Gagne, MS, LMHC

  • Mental Health Counselor
  • Fitchburg, MA
National Provider Identifier
1184771685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4449 Issued in MA
Practice address
348 Lunenburg St
Suite 201
Fitchburg, MA 01420-4566
Phone
(978) 342-0365
Fax
(978) 342-0968
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X 4449 MA Primary

Addresses

Primary practice location

348 Lunenburg St
Suite 201
Fitchburg, MA 01420-4566

Mailing address

348 Lunenburg St
Suite 201
Fitchburg, MA 01420-4566
Phone (978) 342-0365

Other identifiers 2

IdentifierTypeStateIssuer
2019053OtherMACIGNA
GALM0723OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2025 through Mar 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184771685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 LUNENBURG ST",
            "address_2": "SUITE 201",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204566",
            "telephone_number": "978-342-0365",
            "fax_number": "978-342-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 LUNENBURG ST",
            "address_2": "SUITE 201",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204566",
            "telephone_number": "978-342-0365",
            "fax_number": "978-342-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CYNTHIA",
        "middle_name": "P",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2019053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GALM0723",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.