Individual provider Active NPI

Cynthia St.Clair, LCMHC, LPC, R-DMT

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1194224626
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19805 Issued in NC
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

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
19805NCMDMental Health Counselor
LPC.0014793COMDProfessional Counselor
NLC.0106044COMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.