Active NPI
Cynthia St.Clair, LCMHC, LPC, R-DMT
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1194224626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19805
- Practice address
- 2 Walden Ridge Dr Ste 80
Asheville, NC 28803-8598 - Phone
- (919) 323-2071
- NPI assigned
- Feb 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0014793 | CO | |
| Dance Therapist | 225600000X | NLC.0106044 | CO | |
| Mental Health Counselor | 101YM0800X | 19805 | NC | Primary |
Addresses
Primary practice location
2 Walden Ridge Dr Ste 80
Asheville, NC 28803-8598
Mailing address
3016 N Race St
Denver, CO 80205-4560
Phone (718) 974-6645
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19805 | NC | MD | Mental Health Counselor |
| LPC.0014793 | CO | MD | Professional Counselor |
| NLC.0106044 | CO | MD | Dance Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Moon Integrative Therapies: Cycle-Centered Healing | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Wheat Ridge, CO
- NPI 1114579877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1194224626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 N RACE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802054560",
"telephone_number": "718-974-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WALDEN RIDGE DR STE 80",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288038598",
"telephone_number": "919-323-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.CLAIR",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "LCMHC, LPC, R-DMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-10",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0014793",
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "CO",
"license": "NLC.0106044",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "19805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.