Individual provider Active NPI

Cindy Lee Brumbaugh, LSW CAC

  • Mental Health Counselor
  • Bellefonte, PA
National Provider Identifier
1205082765
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW126527 Issued in PA
Practice address
219 W High St
The Lofts at Spring Creek Loft # 10
Bellefonte, PA 16823-1301
Phone
(814) 571-2452
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5410 PA
Mental Health Counselor 101YM0800X SW126527 PA Primary

Addresses

Primary practice location

219 W High St
The Lofts at Spring Creek Loft # 10
Bellefonte, PA 16823-1301

Mailing address

219 W High St
The Lofts at Spring Creek Loft # 10
Bellefonte, PA 16823-1301
Phone (814) 571-2452

Other identifiers 1

IdentifierTypeStateIssuer
5410OtherPACERTIFIED ADDICTION COUNSELOR

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
5410PAMDAddiction (Substance Use Disorder) Counselor
SW126527PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1205082765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W HIGH ST",
            "address_2": "THE LOFTS AT SPRING CREEK LOFT # 10",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231301",
            "telephone_number": "814-571-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W HIGH ST",
            "address_2": "THE LOFTS AT SPRING CREEK LOFT # 10",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231301",
            "telephone_number": "814-571-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "CINDY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LSW CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "5410",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW126527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTION COUNSELOR",
            "identifier": "5410",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.